Individual
MACY LEA PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
CORNER OF LAMONT STREET AND VETERANS WAY, MOUNTAIN HOME, TN 37684
(423) 926-1171
Mailing address
430 ROCKHOUSE RD, JOHNSON CITY, TN 37601
(423) 926-1171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16696
TN
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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