Individual
TAMMY E KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
545 AIRPORT RD, BLUEFIELD, WV 24701-7388
(304) 325-0066
(304) 325-0077
Mailing address
545 AIRPORT RD, BLUEFIELD, WV 24701-7388
(304) 325-0066
(304) 325-0077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002351
WV
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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