Individual
ROBERT J MICKLEWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
155 SERRAL DR, GREENEVILLE, TN 37745-3067
(423) 798-0404
Mailing address
155 SERRAL DR, GREENEVILLE, TN 37745-3067
(423) 798-0404
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5165
TN
Other
Enumeration date
03/09/2022
Last updated
03/09/2022
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