Kimberly Sullivan, PTA

NPI #1922766880 in Dandridge, Tennessee

Provider Information

NPI Number: 1922766880
Entity Type: Individual
Name: Kimberly Sullivan, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Dec 7, 2021
Last Updated: Dec 7, 2021

Practice Location

Address: 914 INDUSTRIAL PARK RD
City: Dandridge
State: Tennessee
ZIP Code: 37725-4700
Phone: (865) 397-3333

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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