Individual
KARISSA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4356 MAYNARDVILLE HWY STE 3, MAYNARDVILLE, TN 37807-3646
(865) 630-9030
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 497-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15542
TN
2251X0800X
Orthopedic Physical Therapist
13293
MN
Other
Enumeration date
01/08/2024
Last updated
12/17/2024
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