Individual
KERRIANNA CLARK NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
501 ADESSA PKWY, STE A140, LENOIR CITY, TN 37771-6725
(865) 988-7610
(865) 988-6636
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9688
TN
Other
Enumeration date
06/11/2013
Last updated
06/11/2013
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