NPI 1144623620
Mary Katherine Hane
Practice location
- Address
- 207 W Blackwell St, Tullahoma, TN 37388-3395
- Phone
- (931) 461-0290
- Mailing address
- 11331 Tullahoma Hwy, Tullahoma, TN 37388-6015
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1144623620
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 29 Sep 2014
- Record last updated
- 29 Sep 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.