Individual
MRS. KELLY M MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4512 CHAPMAN HWY, KNOXVILLE, TN 37920-4359
(865) 577-7779
(865) 577-7279
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
030040-1
NY
225100000X
Physical Therapist
Primary
PT8763
TN
Other
Enumeration date
02/01/2008
Last updated
09/16/2010
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