Individual
MRS. KIMBERLY WYATT WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
726 KENTUCKY AVE S, PARSONS, TN 38363-3105
(731) 847-6371
Mailing address
2474 MYRACLE TOWN RD, DARDEN, TN 38328-4816
(731) 847-7055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6073
TN
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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