Individual
TANNER HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
15041 HIGHWAY 43 BLDG SUITE, RUSSELLVILLE, AL 35653-1973
(256) 331-0070
(256) 331-0054
Mailing address
251 JOHNSTON ST SE STE 200, DECATUR, AL 35601-2515
(256) 350-1764
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10008
AL
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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