Individual
CAROL MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1486 MUNFORD AVE # TN, MUNFORD, TN 38058-6742
(901) 837-1803
Mailing address
PO BOX 366, MUNFORD, TN 38058-0366
(901) 837-1803
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11214
TN
Other
Enumeration date
04/10/2024
Last updated
05/03/2026
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