Individual
SUSAN LEE FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1321 CEDAR LN, TULLAHOMA, TN 37388-2227
(931) 222-4207
Mailing address
202 ST JAMES PL, SHELBYVILLE, TN 37160-9283
(931) 703-5222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4470
TN
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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