Individual
KELLIE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
291 CLEAR SKY CT, C, CLARKSVILLE, TN 37043-5653
(931) 920-4333
(931) 920-4346
Mailing address
804 FOXWOOD RD, CLARKSVILLE, TN 37043-5939
(931) 905-1704
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4687
LICENSE#
TN
Enumeration date
11/01/2006
Last updated
07/08/2007
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