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Tullahoma was founded by European Americans in 1852 as a railroad town, and named after the Tula people (or "Tullabachee") of the Cherokee. It is home to Middle Tennessee State University (MTSU), which has an enrollment of over 12,000 students. The city's economy had been based on agriculture until the late 20th century when health care became its largest industry. The first inhabitants of what would become known as Tullahoma were Native American peoples who settled in permanent villages along rivers for fishing and trade with other tribes long before Europeans arrived in North America. They were part of a culture that built earthwork mounds for ceremonial, burial and religious purposes; some still exist today near downtown Tullahoma at Fort Dickerson Park near Stone Drive off U.S Route 41A/431 Bypass East..