Individual
KATHLEEN LYNN LANDELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1632 W BROADWAY AVE, MARYVILLE, TN 37801-5600
(865) 984-1996
(865) 984-1997
Mailing address
2001 MALLORY LN, SUITE 201, FRANKLIN, TN 37067-8233
(615) 373-1350
(615) 221-9054
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10132
TN
225100000X
Physical Therapist
5501011365
MI
Other
Enumeration date
08/18/2011
Last updated
06/20/2014
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