Individual
KELLI BOITNOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5798 HIXSON HOME PL, HIXSON, TN 37343-4898
(423) 842-0049
Mailing address
1714 HOLLY OAK LN, CHATTANOOGA, TN 37421-2893
(540) 761-2883
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5309
TN
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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