Individual
CHRISTY MUECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEDORTHIST
Contact information
Practice address
201 CENTER PARK DR STE 100, KNOXVILLE, TN 37922-2105
(865) 966-4452
(865) 966-4457
Mailing address
3700 BRAINERD RD, CHATTANOOGA, TN 37411-3603
(423) 697-0057
(423) 648-9366
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
81
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000973794C
—
GA
05
—
1455062
—
TN
05
—
1507472
—
TN
Enumeration date
03/31/2011
Last updated
03/31/2011
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