Provider Demographics
NPI:1760717888
Name:HARRIS, TOMEKA LYNDELL (DPT)
Entity Type:Individual
Prefix:DR
First Name:TOMEKA
Middle Name:LYNDELL
Last Name:HARRIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GARLAND LN
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-2921
Mailing Address - Country:US
Mailing Address - Phone:931-409-8378
Mailing Address - Fax:
Practice Address - Street 1:33 GARLAND LN
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37355-2921
Practice Address - Country:US
Practice Address - Phone:931-409-8378
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-07
Last Update Date:2009-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8159225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist