Individual
CRISHINA MAGGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1564 N BROAD ST STE 6&7, TAZEWELL, TN 37879-4352
(423) 526-6300
Mailing address
199 SUMMER BREEZE LN, NEW TAZEWELL, TN 37825-2052
(859) 333-0224
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004989
KY
Other
Enumeration date
05/10/2008
Last updated
07/10/2020
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