Individual
KIMBERLY WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
36 BAZEBERRY RD, CORDOVA, TN 38018-7754
(901) 758-0036
Mailing address
9545 GRAYS SONG DR, CORDOVA, TN 38018-7772
(901) 497-4550
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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