Individual
KELSIE LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9333 PARK WEST BLVD, SUITE 102, KNOXVILLE, TN 37923-4341
(865) 470-2696
Mailing address
1275 DICK LONAS RD, KNOXVILLE, TN 37909-1382
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10839
TN
Other
Enumeration date
06/10/2016
Last updated
05/20/2019
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