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Organization

TAILORED WELLNESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNA LEACH PA (PA)
(865) 363-5812
Entity
Organization

Contact information

Practice address
1076 WILLOW SPRINGS DR, JOHNSON CITY, TN 37604-3221
(865) 363-5812
Mailing address
1076 WILLOW SPRINGS DR, JOHNSON CITY, TN 37604-3221
(865) 363-5812

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/12/2026
Last updated
05/12/2026
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