Tracy Dewayne Kennemore PT

NPI 1972526515 - Physical Therapist - 225100000X

NPI Details
NPI 1972526515
Gender Male
Enumeration Date 07/25/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
400 DIXIE LEE CENTER RD
KIMBALL TN, 37347-5672, US
Phone (423) 837-7536
Fax (423) 837-7538
Business Location
400 DIXIE LEE CENTER RD
KIMBALL TN, 37347-5672, US
Phone (423) 837-7536
Fax (423) 837-7538
Toxanomy
Taxonomy Code 225100000X
License State Tennessee
License Number PT0000006009
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According to our database, Tracy Dewayne Kennemore PT NPI is 1972526515, taxonomy code is 225100000X and license number is PT0000006009, license state is located at Tennessee. Tracy Dewayne Kennemore PT physically located at 400 Dixie Lee Center Rd, Kimball TN, 37347-5672. NPI Number Tracy Dewayne Kennemore PT has the Individual type.

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1972526515 NPI number is provided on an as is basis without warranty of any kind. 1972526515 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Dewayne Kennemore PT are for informational purposes only.