Individual
TIMOTHY DWAIN HOUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 W LAKE RD, PLEASANT HILL, TN 38578-3002
(931) 297-9943
Mailing address
9577 CHEROKEE TRL, CROSSVILLE, TN 38572-3566
(931) 200-7959
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000002866
TN
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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