Individual
DENISE RAE ETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
45 ENTERPRISE PATH, SUITE 101, HIRAM, GA 30141-2691
(770) 439-4045
(770) 439-4085
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/24/2006
Last updated
11/18/2010
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