Individual
MS. KATHLEEN C. WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8904 CROSS PARK DR, KNOXVILLE, TN 37923-4703
(865) 690-2671
(865) 690-6445
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 238-8930
(423) 285-6647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1133
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3652752
—
TN
01
—
85256
BLUE CROSS
TN
01
—
CH4394
MEDICARE-RAILROAD GROUP ID
TN
01
—
P00389791
RAILROAD MEDICARE
TN
Enumeration date
05/16/2006
Last updated
10/15/2019
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