Provider Demographics
NPI:1891943296
Name:ING, TASHA LYNN (PTA)
Entity Type:Individual
Prefix:MS
First Name:TASHA
Middle Name:LYNN
Last Name:ING
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 TENNESSEE AVE S
Mailing Address - Street 2:P.O. BOX 250
Mailing Address - City:PARSONS
Mailing Address - State:TN
Mailing Address - Zip Code:38363-3700
Mailing Address - Country:US
Mailing Address - Phone:731-847-1246
Mailing Address - Fax:731-847-1147
Practice Address - Street 1:969 TENNESSEE AVE S
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:TN
Practice Address - Zip Code:38363-3700
Practice Address - Country:US
Practice Address - Phone:731-847-1246
Practice Address - Fax:731-847-1147
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4002282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital