Individual
TISHA JULIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
161 MOUNT PELIA RD STE B, MARTIN, TN 38237-3811
(731) 588-3480
(731) 588-3489
Mailing address
219 GIBSON CEMETERY RD, HUMBOLDT, TN 38343-6252
(731) 697-8118
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2570
TN
Other
Enumeration date
10/01/2007
Last updated
01/06/2025
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