Individual
KEISHA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1114 N MAIN ST, SHELBYVILLE, TN 37160-2379
(931) 684-0027
(931) 684-0112
Mailing address
1114 N MAIN ST, SHELBYVILLE, TN 37160-2379
(931) 684-0027
(931) 684-0112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8730
TN
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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