Individual
MR. RODNEY LYNN HERRA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 TAYLOR DR, DAYTON, TN 37321-6441
(423) 664-5238
Mailing address
109 TAYLOR DR, DAYTON, TN 37321-6441
(423) 664-5238
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000005510
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1532939
—
TN
Enumeration date
06/04/2014
Last updated
06/04/2014
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