Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanisha Danielle Puckett

Individual provider Prosthetics Case Management · NPI 1225549728

Tanisha Danielle Puckett is a Prosthetics Case Management in Clarksville, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

913C Tiny Town Rd Ste 114
Clarksville, TN 37042-4603
Phone: (912) 492-2233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X

Record details

NPI number1225549728
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 24, 2017
Last updated in NPPESOctober 24, 2017

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