Individual
TODD MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
727 E CHURCH ST, LEXINGTON, TN 38351-1924
(731) 968-2004
Mailing address
24 WILDCAT DR, LEXINGTON, TN 38351-4742
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5400
TN
Other
Enumeration date
08/01/2013
Last updated
08/01/2013
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