Individual
KIM EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10133 SHERRILL BLVD, KNOXVILLE, TN 37932-3347
(865) 392-2811
Mailing address
11040 W LANE AVE, GLENDALE, AZ 85307-1626
(623) 695-4537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
008854
AZ
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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