Individual
KELLI JO BRUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
501 ADESSA PKWY STE A140, LENOIR CITY, TN 37771-6720
(865) 988-7610
(865) 988-6636
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
Primary
7158
TN
Other
Enumeration date
04/05/2006
Last updated
08/13/2012
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