Individual
NECIA DANYELLE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 GAVICK CV, MEMPHIS, TN 38125-2868
(901) 679-2635
Mailing address
10133 SHERRILL BLVD STE 200, KNOXVILLE, TN 37932-3347
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11954
TN
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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