Individual
MICAH ALLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
5380 HICKORY HOLLOW PKWY STE 201, ANTIOCH, TN 37013-3389
(615) 891-2070
(615) 891-2056
Mailing address
317 SEVEN SPRINGS WAY STE 101, BRENTWOOD, TN 37027-4576
(615) 370-9992
(615) 370-9665
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11967
TN
Other
Enumeration date
09/06/2018
Last updated
08/04/2022
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