Individual
KRISTEN PROVOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2001 MALLORY LN STE 201, FRANKLIN, TN 37067-8235
(615) 771-0134
(615) 771-8816
Mailing address
PO BOX 306393, NASHVILLE, TN 37230-6393
(615) 373-1350
(615) 373-7116
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13702
TN
225100000X
Physical Therapist
—
TN
Other
Enumeration date
07/27/2021
Last updated
04/24/2024
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