Individual
MRS. MARY KATHERINE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5822 LYONS VIEW PIKE STE B, KNOXVILLE, TN 37919-6493
(865) 588-6358
(865) 909-9949
Mailing address
5822 LYONS VIEW PIKE STE B, KNOXVILLE, TN 37919-6493
(865) 588-6358
(865) 909-9949
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11345
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11345
STATE LICENSE
TN
Enumeration date
11/09/2017
Last updated
11/09/2017
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