Individual
THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4081 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-2674
(931) 433-9973
Mailing address
4081 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-2674
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5634
TN
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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