Individual
DEBORAH HAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1116 N MAIN ST, SHELBYVILLE, TN 37160-2310
(615) 931-0027
Mailing address
4149 JENSOME LN, FRANKLIN, TN 37064-1163
(615) 631-3196
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1980
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1980
PHYSICAL THERAPIST ASSISTANT LICENSE
TN
Enumeration date
08/29/2022
Last updated
08/29/2022
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