Individual
KRISTEN MARIE DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1595 MALLORY LN, STE 210, BRENTWOOD, TN 37027-2895
(615) 900-4838
(615) 900-4839
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT9093
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9093
PT LICENSE
TN
Enumeration date
09/16/2011
Last updated
12/10/2014
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