Individual
MR. ANATOLIY SMYRNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1559 SPARTA ST, MCMINNVILLE, TN 37110-1316
(931) 815-4367
(931) 815-4630
Mailing address
111 PARKER STREET, PO BOX # 4, MORRISON, TN 37357
(615) 686-5547
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8974
TN
Other
Enumeration date
11/28/2018
Last updated
11/28/2018
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