Individual
TIA DANIELLE THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
835 UNION ST, SHELBYVILLE, TN 37160-2607
(931) 680-2300
Mailing address
2612 HIGHWAY 64 E, WARTRACE, TN 37183-3238
(615) 651-3906
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6426
TN
Other
Enumeration date
08/22/2025
Last updated
08/22/2025
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