Tracy Dewayne Kennemore, PT

NPI #1972526515 in Kimball, Tennessee

Provider Information

NPI Number
1972526515
Entity Type
Individual
Name
Tracy Dewayne Kennemore, PT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
PT
Enumeration Date
Jul 25, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
400 DIXIE LEE CENTER RD
ZIP Code
37347-5672
Phone
(423) 837-7536

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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