Individual
MRS. KATHY JO KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
VUMC 1215 21ST AVE S, MEDICAL CENTER EAST SOUTH TOWER SUITE 3312, NASHVILLE, TN 37232-0001
(615) 343-1207
Mailing address
1317 CLEARVIEW DR, MT JULIET, TN 37122-3424
(615) 758-9065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000001881
TN
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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