Individual
LISA D NAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
707 S MAIN ST, CROSSVILLE, TN 38555-5011
(931) 456-1818
(931) 456-4458
Mailing address
707 S MAIN ST, CROSSVILLE, TN 38555-5011
(931) 456-1818
(931) 456-4458
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000003688
TN
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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