Individual
TARA MICHELLE HIBBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8353 HIGHWAY 100, NASHVILLE, TN 37221-4190
(629) 888-5800
(629) 888-5805
Mailing address
8353 HIGHWAY 100, NASHVILLE, TN 37221-4190
(629) 888-5800
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5531
TN
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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