Individual
MRS. KRYSTAL LYN GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 CHESAPEAKE HARBOR BLVD, HENDERSONVILLE, TN 37075-4732
(615) 238-4369
Mailing address
108 CHESAPEAKE HARBOR BLVD, HENDERSONVILLE, TN 37075-4732
(615) 238-4369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6120
TN
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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