Individual
JASON A. KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1047 HIGHWAY 92 S, DANDRIDGE, TN 37725
(865) 397-5073
Mailing address
2259 SANDSTONE DR, MORRISTOWN, TN 37814-2593
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11468
TN
Other
Enumeration date
07/26/2017
Last updated
09/07/2018
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