Individual
KRISTIN M MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
123 WESTERN PLAZA WAY, NEWPORT, TN 37821
(423) 623-7777
(423) 623-0707
Mailing address
112 BRADFORD BLVD STE 500, GORDONSVILLE, TN 38563-4618
(615) 683-3010
(615) 683-3016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
007245
KY
225100000X
Physical Therapist
05012933A
IN
225100000X
Physical Therapist
Primary
12034
TN
225100000X
Physical Therapist
2305211211
VA
225100000X
Physical Therapist
3799
NE
225100000X
Physical Therapist
PTL.0014951
CO
Other
Enumeration date
10/02/2017
Last updated
08/01/2018
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