Individual
AVARIE ELIZABETH MAYNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
520 W MAIN ST, SMITHVILLE, TN 37166-1138
(615) 215-5470
Mailing address
520 W MAIN ST, SMITHVILLE, TN 37166-1138
(615) 215-5470
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5228
TN
Other
Enumeration date
06/24/2013
Last updated
06/24/2013
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