Organization
PHYSICAL THERAPY OF TELLICO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NICOLE MARIE CRESSWELL MSPT (OWNER)
(423) 253-6522
Entity
Organization
Contact information
Practice address
8805 NEW HIGHWAY 68, UNIT 1, TELLICO PLAINS, TN 37385-5347
(423) 253-6522
(423) 253-3664
Mailing address
PO BOX 483, TELLICO PLAINS, TN 37385-0483
(423) 253-6522
(423) 253-3664
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000004777
TN
Other
Enumeration date
06/07/2006
Last updated
08/22/2020
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