Most Relevant Information
Provider Data
| NPI Number: | 1003016213 |
| Provider Name: | PENNY CAROLYN TIPPS PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT1688 |
Most Important Dates
| Enumeration Date: | 07/25/2007 |
| Last Updated: | 07/25/2007 |
Provider Practice Location
1801 N JACKSON ST
TULLAHOMA
TN
373888259
Practice Location Phone/Fax
| Phone: | 9313937964 |
| Fax: | 9314556308 |
Provider Mailing Location
1801 N JACKSON ST
TULLAHOMA
TN
373888259
Provider Mailing Phone/Fax
| Phone: | 9313937964 |
| Fax: | 9314556308 |