Individual
TAMMY MICHELLE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1321 CEDAR LN, TULLAHOMA, TN 37388-2227
(931) 222-4207
Mailing address
403 4TH AVE N, DECHERD, TN 37324-3437
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
4917
TN
225200000X
Physical Therapy Assistant
Primary
4918
TN
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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