Individual
MRS. GENIE SIEBER ULLRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1034 REELFOOT ST, TIPTONVILLE, TN 38079-1607
(731) 253-6681
(731) 253-8014
Mailing address
1034 REELFOOT ST, TIPTONVILLE, TN 38079-1607
(731) 253-7266
(731) 253-7267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2791
TN
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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