Individual
KELLIE MICHELLE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1927 MEMORIAL BLVD, MURFREESBORO, TN 37129-1545
(615) 904-9111
Mailing address
5159 MORGAN TAYLOR DR, MURFREESBORO, TN 37129-8670
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6224
TN
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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