Individual
MS. LAKRISHA G KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
6025 PRIMACY PARKWAY, MEMPHIS, TN 38119-5763
(901) 767-1040
(901) 374-9603
Mailing address
6025 PRIMACY PKWY, MEMPHIS, TN 38119-5763
(901) 767-1040
(901) 374-9603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1837
TN
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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