Individual
MRS. BRANDY NICHOL COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-5510
(423) 224-5544
Mailing address
115 WAYNE RD, ROGERSVILLE, TN 37857-5471
(423) 921-5118
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000007085
TN
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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