Individual
KRISTIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 RUNYAN DR, CHATTANOOGA, TN 37405-1225
(423) 875-6723
Mailing address
803 CLARENDON ST, CHATTANOOGA, TN 37405-2912
(901) 461-8550
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000012740
TN
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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