Individual
KATY SCARLETT HACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3 PROFESSIONAL PARK DR STE 10, JOHNSON CITY, TN 37604-6529
(423) 926-4331
Mailing address
3 PROFESSIONAL PARK DRIVE, JOHNSON CITY, TN 37604
(423) 926-4331
(423) 926-5767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10711
TN
225100000X
Physical Therapist
PT012416
GA
Other
Enumeration date
04/12/2016
Last updated
03/04/2019
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