Individual
MICHELLE WRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC, LAT
Contact information
Practice address
212 W CEDAR ST, GOODLETTSVILLE, TN 37072-1552
(615) 478-2862
Mailing address
212 W CEDAR ST, GOODLETTSVILLE, TN 37072-1552
(615) 478-2862
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5540
TN
Other
Enumeration date
05/16/2014
Last updated
05/16/2014
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