Individual
KELLY LEE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
759 W CHURCH ST, LEXINGTON, TN 38351-1738
(731) 967-3224
(731) 425-3188
Mailing address
1804 HIGHWAY 45 BYP, STE 604, JACKSON, TN 38305-4436
(731) 660-8759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3638
TN
Other
Enumeration date
07/07/2006
Last updated
07/17/2009
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