Individual
STEPHEN PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1212 HOLLIS TER, COTTONTOWN, TN 37048-9601
(615) 818-5830
Mailing address
1212 HOLLIS TER, COTTONTOWN, TN 37048-9601
(615) 818-5830
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
192
TN
225200000X
Physical Therapy Assistant
Primary
PTA0000006610
TN
Other
Enumeration date
08/08/2011
Last updated
12/06/2017
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