Individual
MICHELE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5979 DESERT STORM AVE, FORT CAMPBELL, KY 42223-5514
(910) 580-1400
Mailing address
7360B HINES AVE, FORT CAMPBELL, KY 42223-3202
(910) 580-1400
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000005499
TN
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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