Individual
KRISTI MICHELLE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4850 E ANDREW JOHNSON HWY, GREENEVILLE, TN 37745-3098
(423) 787-6954
Mailing address
505 N MAIN ST, BULLS GAP, TN 37711-4739
(423) 235-0305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2262
TN
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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