Individual
MS. ALLISON KATE WILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
311 LANDRUM PL STE B400, CLARKSVILLE, TN 37043-6319
(931) 647-3553
Mailing address
3910 HIGHWAY 79 S, PARIS, TN 38242-6195
(731) 336-6611
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A03927
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285689794
TENNOVA HEATH CARE
TN
Enumeration date
02/21/2019
Last updated
02/21/2019
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