Individual
MRS. JAMIE RAE KERSTIENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2380 BUFFALO RD, LAWRENCEBURG, TN 38464-4809
(931) 762-9418
Mailing address
213 RIDDLE LN, LORETTO, TN 38469-2232
(931) 853-6579
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3433
TN
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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