Individual
KRISTY CARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5244
(931) 222-1148
Mailing address
588 PARKVUE VILLAGE WAY, CLARKSVILLE, TN 37043-5583
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5280
TN
Other
Enumeration date
08/05/2012
Last updated
08/05/2012
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