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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANISHA DANIELLE PUCKETT

Active Sole Proprietor

TANISHA DANIELLE PUCKETT is a Physical Therapist Assistant healthcare provider located in CLARKSVILLE, Tennessee. NPI 1225549728 is currently active in the NPPES registry. Verify at CMS.

Physical Therapist Assistant · CLARKSVILLE, TN

Registration Details

NPI Number
1225549728
Provider Type
Individual
Gender
Female
NPI Issued
Oct 24, 2017 (8.8263719908362 yrs)
Last Updated
Oct 24, 2017
Sole Proprietor
Yes

Practice Information

Address
913C TINY TOWN RD STE 114
CLARKSVILLE, TN, 370424603
Browse TN providers · Browse ZIP 37042
Phone
9124922233
Primary Specialty
Physical Therapist Assistant
1744P3200X

Other Physical Therapist Assistant Providers in CLARKSVILLE, TN

Name Credential NPI
TOMIKA LISENBY 1366942567
ANGELA L MAJORS 1649860602
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.