Individual
KIMBERLY S MICHALSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
112 NEWPORT TOWNE CTR, NEWPORT, TN 37821-7360
(423) 623-2890
(423) 623-2924
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8930
(423) 285-6647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070-005854
IL
225100000X
Physical Therapist
Primary
PT7810
TN
Other
Enumeration date
09/15/2006
Last updated
07/31/2015
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