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Alexandra Ely Harris, DPT

Physical Therapist in Loudon, TN. Individual provider (NPI-1).

NPI number1124545686
StatusActive
Last updated in NPPESAug 2, 2022

Details

NPI
1124545686
Entity type
Individual (NPI-1)
Name
Alexandra Ely Harris
Credential
DPT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2017
Certification date
Jul 22, 2022
Last updated
Aug 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist11400TNYes
225100000X Physical Therapist–TN

Practice location

100 River Rd
Loudon, TN 37774-1042

Phone 865-458-5411

Mailing address

90 Howard Dr
Shelbyville, KY 40065-8138

Phone 502-633-1007

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