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Individual

CALYSTA NATELLE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 VETERANS WAY, KNOXVILLE, TN 37931-3161
(865) 862-8100
Mailing address
106 BROAD ST # 301, ELIZABETHTON, TN 37643-2713
(714) 309-4826

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8751
TN

Other

Enumeration date
10/30/2024
Last updated
12/08/2024
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