Individual
LAUREN ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1921 N CHARLES G SEIVERS BLVD, CLINTON, TN 37716-6700
(865) 457-1649
Mailing address
5416 EVERGREEN FARMS LN, GREENBACK, TN 37742-3433
(865) 248-2048
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7523
TN
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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