Individual
LISA NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
461 POND APPLE RD, CLARKSVILLE, TN 37043-2208
(931) 920-4333
Mailing address
304 BAKER ST UNIT B, FORT CAMPBELL, KY 42223-3662
(920) 362-6028
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A04597
KY
225200000X
Physical Therapy Assistant
Primary
CP032660A
TN
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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