COY DANIEL KIDD

PLEASANT HILL, TN
NPI1104390996
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: TN  6840)
Enumeration Date2019-01-15
Last Update Date2019-01-15
Business Address
COY DANIEL KIDD
55 W LAKE RD
PLEASANT HILL, TN 38578-3002
Phone number: 931-277-3518
Mailing Address
COY DANIEL KIDD
1328 PISTOL LN
ONEIDA, TN 37841-6900
Phone number: 423-215-8123
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