Individual
JOSHUA KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1310 24TH AVE S, NASHVILLE, TN 37212-2637
(615) 327-4751
Mailing address
284 FAIR HAVEN DR, CLARKSVILLE, TN 37043-7876
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7041
TN
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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