Individual
KIMBERLY SMITH MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
6 HOLLYTREE CIR, FAYETTEVILLE, TN 37334-8081
(931) 625-4572
Mailing address
6 HOLLYTREE CIR, FAYETTEVILLE, TN 37334-8081
(931) 625-4572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000002905
TN
Other
Enumeration date
11/23/2012
Last updated
11/23/2012
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