Individual
ISAIAH MULLENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1901 CLINCH AVE, KNOXVILLE, TN 37916-2307
(865) 331-1111
Mailing address
704 FAN ST, TAZEWELL, TN 37879-4222
(865) 585-4919
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6489
TN
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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