Individual
PAM REDDITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4859 GUTHRIE HWY, CLARKSVILLE, TN 37040-5424
(931) 237-2430
Mailing address
4859 GUTHRIE HWY, CLARKSVILLE, TN 37040-5424
(931) 237-2430
Taxonomy
Speciality
Code
Description
License number
State
2279S1500X
SNF/Subacute Care Registered Respiratory Therapist
Primary
6214
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6214
—
TN
Enumeration date
10/10/2016
Last updated
10/10/2016
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