Individual
MRS. SHELLY DIANE COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15,000 HWY 72 N, LOUDON, TN 37774
(865) 458-4199
(865) 458-3199
Mailing address
7620 BIG SANDY RD, PHILADELPHIA, TN 37846-1931
(865) 458-6821
(865) 458-3199
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000002870
TN
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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