Southern Rehab & Aquatics
NPI #1760502520 in Kimball, Tennessee
Provider Information
- NPI Number
- 1760502520
- Entity Type
- Organization
- Organization Name
- Southern Rehab & Aquatics
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Apr 28, 2008
Practice Location
Authorized Official
- Name
- MR. TRACE DEWAYNE KENNEMORE, PT
- Title
- PT
- Phone
- (423) 837-7536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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