Individual
MARY KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 BLACKFORD ST, ATTN: CHILDREN'S THERAPY SERVICES, CHATTANOOGA, TN 37403-1405
(423) 778-6845
(423) 778-2275
Mailing address
910 BLACKFORD ST, ATTN: CHILDREN'S THERAPY SERVICES, CHATTANOOGA, TN 37403-1405
(423) 778-6845
(423) 778-2275
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
150
TN
Other
Enumeration date
03/04/2015
Last updated
03/04/2015
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