Dylan Ketner, PTA

NPI #1346806668 in Kingsport, Tennessee

Provider Information

NPI Number: 1346806668
Entity Type: Individual
Name: Dylan Ketner, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: May 13, 2019
Last Updated: May 13, 2019

Practice Location

Address: 1 SHERIDAN SQ STE 100
City: Kingsport
State: Tennessee
ZIP Code: 37660-7392
Phone: (423) 230-0194

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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