Individual
MR. CLIFTON LEE HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.A.S.
Contact information
Practice address
309 MAIN ST, RED BOILING SPRINGS, TN 37150-2149
(615) 699-2304
Mailing address
309 MAIN ST, RED BOILING SPRINGS, TN 37150-2149
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6143
TN
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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