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1174036065
ELTON TIDWELL
CROSSVILLE, 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
2024-12-16
Business Address
ELTON TIDWELL DPT
115 CUMBERLAND PLZ
CROSSVILLE, TN 38555-4292
Phone number: 931-787-1244
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Mailing Address
ELTON TIDWELL DPT
1200 CORPORATE DR STE 400
HOOVER, AL 35242-5424
Phone number: 423-238-7217
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