Individual
AMY SIDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
614 CARRIAGE HOUSE DR, SUITE E, JACKSON, TN 38305-4238
(731) 668-4449
Mailing address
614 CARRIAGE HOUSE DR, SUITE E, JACKSON, TN 38305-4238
(731) 668-4449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000002746
TN
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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