Individual
ALLIE RENEE PRIVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
618 STATE ROUTE 187, HUMBOLDT, TN 38343-6207
(731) 414-9684
Mailing address
618 STATE ROUTE 187, HUMBOLDT, TN 38343-6207
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2188052
TX
Other
Enumeration date
12/19/2025
Last updated
12/19/2025
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