Individual
CRYSTAL WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 OLD HIXSON PIKE, HIXSON, TN 37343-4881
(423) 847-1370
Mailing address
9301 CHIRPING RD, HIXSON, TN 37343-5307
(423) 508-2324
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4128
TN
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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