NPI 1598997124

Alan Charles Queen, LMT

Practitioner Mechanotherapist Erwin, TN

Practice location

Address: 104 S Main Ave, Erwin, TN 37650-1238
Phone: (423) 388-8940

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence 7561 (TN)

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Registry record

NPI: 1598997124
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Aug 2009
Record last updated: 15 Aug 2009

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.