Individual
MRS. KELLY R BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1125 GROVE ST, STE 120, LOUDON, TN 37774-3251
(865) 458-8080
(865) 458-4111
Mailing address
1125 GROVE ST, STE 120, LOUDON, TN 37774-3251
(865) 458-8080
(865) 458-4111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000006280
TN
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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