Individual
KERRI LEIGH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3131 TOM AUSTIN HWY, SPRINGFIELD, TN 37172-4801
(615) 382-7979
Mailing address
8721 GREEN GAP RD, OOLTEWAH, TN 37363-9207
(423) 238-6369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000001774
TN
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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