Individual
KACEY M HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1525 GUNBARREL RD STE 105, CHATTANOOGA, TN 37421-4832
(423) 894-4188
(423) 894-4185
Mailing address
800 CRESCENT CENTRE DR STE 300, FRANKLIN, TN 37067-7285
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9086
TN
225100000X
Physical Therapist
PT-1174
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123142100
—
WY
Enumeration date
08/02/2006
Last updated
10/04/2019
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