TISHA BEATON

HUMBOLDT, TN
NPI1407043763
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  2570)
Enumeration Date2007-10-01
Last Update Date2007-10-01
Business Address
MRS. TISHA BEATON PTA
219 GIBSON CEMETERY RD
HUMBOLDT, TN 38343-6252
Phone number: 731-697-8118
Mailing Address
MRS. TISHA BEATON PTA
219 GIBSON CEMETERY RD
HUMBOLDT, TN 38343-6252
Phone number: 731-697-8118
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