Individual
MS. KAMI H DAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1125 GROVE ST, SUITE 100, LOUDON, TN 37774-1512
(865) 966-8348
(865) 966-8349
Mailing address
1532 CRESENT OAKS LN, LENOIR CITY, TN 37772-4199
(865) 966-8348
(865) 966-8349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6401
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3654163
—
TN
01
—
4022246
BLUE CROSS
TN
Enumeration date
05/11/2006
Last updated
07/08/2007
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