Individual
TIM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 CEDAR LN, TULLAHOMA, TN 37388-2227
(931) 222-4207
Mailing address
111 COLLINWOOD DR, TULLAHOMA, TN 37388-3002
(602) 885-1043
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7119
TN
Other
Enumeration date
07/31/2019
Last updated
08/02/2019
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