Individual
CARLEY LAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
105 SUNRISE CIR, FRANKLIN, TN 37067-8246
(423) 255-9265
Mailing address
3714 BROWNS HOLLOW RD, TRACY CITY, TN 37387-3034
(423) 255-9265
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8219
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117586961
DRIVER LICENSE
TN
Enumeration date
11/10/2022
Last updated
11/10/2022
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