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1215506761
KACI CATHLEEN KELLY
SPRINGFIELD, TN
NPI
1215506761
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 5226)
Enumeration Date
2021-06-20
Last Update Date
2021-06-20
Business Address
KACI CATHLEEN KELLY
719 S MAIN ST STE 104
SPRINGFIELD, TN 37172-2809
Phone number: 615-480-4792
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Mailing Address
KACI CATHLEEN KELLY
5728 WOODALE DR
KNOXVILLE, TN 37912-2616
Phone number: 865-240-1929
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