Individual
CARLY EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8353 HIGHWAY 100, NASHVILLE, TN 37221-4190
(629) 888-5800
Mailing address
914 MASON TUCKER DR, SMYRNA, TN 37167-5986
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6461
TN
Other
Enumeration date
10/01/2017
Last updated
10/01/2017
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