Individual
MRS. AMANDA MICHELE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5228 MAIN ST, SUITE A2, SPRING HILL, TN 37174-7402
(931) 486-0599
(931) 486-3962
Mailing address
3520 MAHLON MOORE RD, SPRING HILL, TN 37174-2134
(931) 489-5886
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000002969
TN
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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