Individual
LAURIE CHOATE-KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1397 S COLLEGE ST, WINCHESTER, TN 37398-2414
(931) 962-3225
(931) 962-3103
Mailing address
1397 SOUTH COLLEGE STREET, WINCHESTER, TN 37398
(931) 962-3225
(931) 962-3103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5483
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044-6626
—
TN
Enumeration date
07/31/2013
Last updated
07/31/2013
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