Individual
DR. AUSTIN WILLIAM KERCHEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6401 SHALLOWFORD RD, CHATTANOOGA, TN 37421-5406
(423) 893-6500
Mailing address
1420 CLOVERDALE CIR, HIXSON, TN 37343-4445
(479) 287-1782
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
11697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11697
TENNESSEE STATE BOARD OF PHYSICAL THERAPY
TN
Enumeration date
06/08/2018
Last updated
02/27/2023
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