Individual
KREA MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CCI
Contact information
Practice address
423 HIGHLAND DR, CLINTON, TN 37716-2704
(865) 805-4073
Mailing address
PO BOX 146, ANDERSONVILLE, TN 37705-0146
(865) 805-4073
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000002343
TN
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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