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NPI Code Detail

MEDICARE: COURTNEY KIMSEY PT

MEDICARE: COURTNEY KIMSEY PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8755TN

General Provider Information

NPI Number : 1548576028
Entity Type Code : Individual
Provider Name (Legal Business Name) : COURTNEY KIMSEY PT
Provider Business Mailing Address
First Line : 2001 MALLORY LN
Second Line : STE 201
City : FRANKLIN
State : TN
Zip : 37067-8233
Country : US
Telephone Number : 615-373-1350
Fax Number : 615-373-7116
Provider Business Practice Location Address
First Line : 2197 MADISON ST
Second Line : STE 106
City : CLARKSVILLE
State : TN
Zip : 37043-5284
Country : US
Telephone Number : 931-503-1700
Fax Number : 931-503-1798
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2010
Last Update Date : 08/23/2010

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