Individual provider · Type 1 NPI

Tanisha Danielle Puckett

Prosthetics Case Management · Clarksville, TN

NPI number 1225549728 Active

Practice location

913C Tiny Town Rd Ste 114
Clarksville, TN 37042-4603

Mailing address

1571 Edgewater Ln
Clarksville, TN 37043-1547

Specialties and licenses

TaxonomyCodeLicense
Prosthetics Case Management Primary 1744P3200XNone listed

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

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About NPI 1225549728

Tanisha Danielle Puckett's National Provider Identifier is 1225549728, issued on Oct 24, 2017. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Clarksville, TN. The record was last updated on Oct 24, 2017.