Individual
KELSEY MARTHA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4384 CONGER RD, LOUISVILLE, TN 37777-5118
(865) 805-0773
Mailing address
4384 CONGER RD, LOUISVILLE, TN 37777-5118
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
9328
TN
Other
Enumeration date
06/09/2013
Last updated
06/09/2013
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