Kristy Lynn Pettiecord, PTA

NPI #1225502156 in Sneedville, Tennessee

Provider Information

NPI Number: 1225502156
Entity Type: Individual
Name: Kristy Lynn Pettiecord, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jan 14, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: 1423 MAIN ST
City: Sneedville
State: Tennessee
ZIP Code: 37869-3654
Phone: (423) 733-4783

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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