MICAH MCCOLLOCH

COOKEVILLE, TN
NPI1285289249
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  7124)
Enumeration Date2019-08-07
Last Update Date2019-08-07
Business Address
MICAH MCCOLLOCH PTA
815 S WALNUT AVE
COOKEVILLE, TN 38501-5956
Phone number: 931-528-5516
Mailing Address
MICAH MCCOLLOCH PTA
2539 SPARKMANTOWN RD
DOYLE, TN 38559-3235
Phone number: 931-607-4885
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