Individual
MISTY LEE SHORTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6981 HIGHWAY 13, ERIN, TN 37061-4465
(931) 906-0440
Mailing address
6981 HIGHWAY 13, ERIN, TN 37061-4465
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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