Individual
STACY GREEN CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2380 BUFFALO RD, LAWRENCEBURG, TN 38464-4809
(931) 762-9418
(931) 766-0573
Mailing address
21 MAGNOLIA LN, ROGERSVILLE, AL 35652-3662
(256) 710-4474
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000006474
TN
225200000X
Physical Therapy Assistant
PTA8415
AL
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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