Individual
MRS. KERRA TAYLOR HERNDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
670 SKYLINE DR, JACKSON, TN 38301-3934
(731) 541-6844
Mailing address
32 ESTER CV, JACKSON, TN 38305-7389
(731) 697-7282
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OT0000003872
TN
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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