Individual
MR. COREY IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
120 CAVETTE HILL LN, KNOXVILLE, TN 37934-6673
(865) 777-4000
Mailing address
1312 TRANQUILITY TRL, DANDRIDGE, TN 37725-5412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5939
TN
Other
Enumeration date
06/26/2015
Last updated
06/26/2015
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