Individual
KAYLEIGH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
36 BAZEBERRY RD, CORDOVA, TN 38018-7754
(901) 758-0036
Mailing address
36 BAZEBERRY RD, CORDOVA, TN 38018-7754
(901) 758-0036
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10640
TN
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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