Individual
MARTHA WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
928 OLD SMITHVILLE RD, MC MINNVILLE, TN 37110-6805
(931) 473-8431
Mailing address
958 TOBITT RD, MC MINNVILLE, TN 37110-5524
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7685
TN
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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