Individual
AMANDA JO TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
820 SCENIC HWY STE B, MOUNTAIN CENTER BUILDING, LOOKOUT MOUNTAIN, TN 37350-1474
(423) 825-1393
(423) 825-6147
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7833
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03650060
—
TN
Enumeration date
06/13/2007
Last updated
02/04/2011
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