Individual
RENEE THOMPSON BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
57 W ADAMS ST, CROSSVILLE, TN 38555-4836
(931) 250-5433
(931) 250-5434
Mailing address
88 TAYLOR AVE, CROSSVILLE, TN 38555-4532
(931) 250-5433
(931) 250-5434
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT6006
TN
363AM0700X
Medical Physician Assistant
Primary
PA3219
TN
Other
Enumeration date
05/26/2011
Last updated
12/29/2023
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