Individual
JESSICA MICHELE KEIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 PROFESSIONAL PARK DR, CLARKSVILLE, TN 37040-5244
(931) 552-3002
Mailing address
2900 ASHLAND CITY RD, CLARKSVILLE, TN 37043-2607
(931) 551-4512
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000005431
TN
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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