Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1659838068 |
---|---|
Provider Name | Tammy A Roberts |
First Address | Murfreesboro, TN 37129-1392 |
Second Address | Murfreesboro, TN 37129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/02/2019 |
Last Update Date | 22/02/2019 |