ELTON TIDWELL

KNOXVILLE, TN
NPI1174036065
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  11558)
Enumeration Date2017-11-14
Last Update Date2020-03-18
Business Address
ELTON TIDWELL DPT
8905 TOWN AND COUNTRY CIR STE 9
KNOXVILLE, TN 37923-4931
Phone number: 856-539-9185
Mailing Address
ELTON TIDWELL DPT
6397 LEE HWY
CHATTANOOGA, TN 37421-2564
Phone number: 423-238-7211