Individual
MARCIA AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
441 NEEDMORE RD, CLARKSVILLE, TN 37040-6107
(931) 368-8531
Mailing address
441 NEEDMORE RD, CLARKSVILLE, TN 37040-6107
(931) 368-8531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55135
NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION
—
Enumeration date
09/09/2012
Last updated
09/09/2012
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