Individual
KIT ADAM PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA, LMT
Contact information
Practice address
419 STEAM PLANT RD, GALLATIN, TN 37066-3027
(615) 230-7614
Mailing address
419 STEAM PLANT RD, GALLATIN, TN 37066-3027
(615) 230-4600
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2018037381
MO
225700000X
Massage Therapist
2010001558
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T981305392
DRIVERS LICENSE
MO
Enumeration date
05/06/2019
Last updated
06/11/2019
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