Individual
NICHOLIS CRUMBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2910 S CHURCH ST STE G, MURFREESBORO, TN 37127-7149
(615) 656-0610
Mailing address
2910 S CHURCH ST STE G, MURFREESBORO, TN 37127-7149
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000006775
TN
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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