Individual
KATHERINE GRACE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1014 GRANADA AVE, NASHVILLE, TN 37206-3443
(225) 223-9045
Mailing address
1014 GRANADA AVE, NASHVILLE, TN 37206-3443
(225) 223-9045
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
10961
TN
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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