Individual
JESSICA SHEA KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
629 GALLHER RD, KINGSTON, TN 37763
(865) 376-3416
Mailing address
629 GALLAHER RD, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 376-3532
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
—
TN
2251X0800X
Orthopedic Physical Therapist
—
TN
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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