Individual
MR. KIMO DANIELSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2771 HIGHWAY 11 E, LENOIR CITY, TN 37772-6381
(865) 660-2402
(865) 675-0998
Mailing address
225 N HOBBS RD, KNOXVILLE, TN 37934-0828
(865) 675-2527
(865) 675-0998
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4266
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3646041
—
TN
Enumeration date
06/10/2006
Last updated
07/09/2007
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