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1174036065
ELTON TIDWELL
KNOXVILLE, TN
NPI
1174036065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 11558)
Enumeration Date
2017-11-14
Last Update Date
2020-03-18
Business Address
ELTON TIDWELL DPT
8905 TOWN AND COUNTRY CIR STE 9
KNOXVILLE, TN 37923-4931
Phone number: 856-539-9185
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Mailing Address
ELTON TIDWELL DPT
6397 LEE HWY
CHATTANOOGA, TN 37421-2564
Phone number: 423-238-7211
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