Randy Tidwell, APN

NPI 1164661674 · on the registry since 2009

Practice

Address: 421 N Broadway
Portland, TN 37148
Phone: (615) 323-1020
Fax: (615) 323-1021
Organisation at this address: Firefly Health Pllc
Nulife Physical Therapy Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-08-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee