Individual
KEYNA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
111 PARKER AVE, GREENBRIER, TN 37073-5268
(615) 838-0901
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000004548
TN
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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