Individual
MRS. KEENA NATASHIA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5009 RIVER CHASE DR, STE 100C, PHENIX CITY, AL 36867-7484
(334) 298-0650
(334) 298-1020
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA6225
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
636000526
EAST ALABAMA MEDICAL CENTER
AL
Enumeration date
05/18/2012
Last updated
05/31/2018
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