Individual
MISTY PAGE STANIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1423 MAIN ST, SNEEDVILLE, TN 37869-3654
(423) 733-4783
(423) 733-2944
Mailing address
4137 TAZEWELL HWY, SNEEDVILLE, TN 37869-6042
(423) 300-9157
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4168
TN
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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