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Individual

KRYSTAN INMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1975 W ELK AVE STE 1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
(423) 543-1277
Mailing address
1975 W ELK AVE STE 1, ELIZABETHTON, TN 37643-3787
(423) 543-0073
(423) 543-1277

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3020
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0446517
TN
Enumeration date
02/28/2018
Last updated
02/28/2018
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