Individual
MISS KELLI BRANDON BEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
191 MURRAY LN, HUNTINGDON, TN 38344-2819
(731) 234-8081
Mailing address
191 MURRAY LN, HUNTINGDON, TN 38344-2819
(731) 234-8081
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3810
TN
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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