Individual
JUSTIN KERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4929 PEAVINE RD, STE 101, CROSSVILLE, TN 38571-7994
(931) 484-7442
(931) 484-7994
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
10332
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10332
TN PT LICENSE
TN
Enumeration date
02/12/2015
Last updated
02/12/2015
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