Individual
MRS. AMY SIMS CARLISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
765 BERT JOHNSTON AVE, COVINGTON, TN 38019-2414
(901) 475-0027
Mailing address
365 HUMMINGBIRD LOOP, ATOKA, TN 38004-7886
(901) 592-7818
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7796
TN
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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