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1770992943
TYLER STOUT SMITH
COOKEVILLE, TN
NPI
1770992943
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2014-08-12
Last Update Date
2014-08-12
Business Address
-- TYLER STOUT SMITH PTA
444 ONE ELEVEN PL
COOKEVILLE, TN 38506-4358
Phone number: 931-525-6655
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Mailing Address
-- TYLER STOUT SMITH PTA
2874 GRANVILLE HWY
GAINESBORO, TN 38562-6180
Phone number: 931-267-4675
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