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1184298887
KIMBERLY LATRESE WYATT
CHATTANOOGA, TN
NPI
1184298887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 2558)
Enumeration Date
2021-05-17
Last Update Date
2021-05-17
Business Address
KIMBERLY LATRESE WYATT PTA
825 RUNYAN DR
CHATTANOOGA, TN 37405-1225
Phone number: 423-875-6723
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Mailing Address
KIMBERLY LATRESE WYATT PTA
8944 BROOKHILL DR
HIXSON, TN 37343-1297
Phone number: 423-400-4695
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