Individual
MRS. BRENDA FAYE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
175 HOSPITAL DR, MC KENZIE, TN 38201-1636
(731) 352-3908
Mailing address
235 SIXTEENTH FAIRWAY, MC KENZIE, TN 38201-7700
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1983
TN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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