Individual
KELSEY FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1425 MCFARLAND AVE, ROSSVILLE, GA 30741-2215
(706) 861-0863
Mailing address
2107 UNION AVE, CHATTANOOGA, TN 37404-3624
(865) 216-9997
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7160
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107345647
—
TN
Enumeration date
12/28/2021
Last updated
12/28/2021
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