Individual
DYLAN KETNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1 SHERIDAN SQ STE 100, KINGSPORT, TN 37660-7392
(423) 230-0194
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/13/2019
Last updated
05/13/2019
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