Individual
JOSEE CAMRYN BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
309 GARDNER RD, POWELL, TN 37849-3418
(865) 679-2048
Mailing address
4417 AMBER DR, LOUISVILLE, TN 37777-4632
(865) 456-2394
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000007514
TN
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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