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1477576700
KELLEY B. SOUTHARD
HENDERSONVILLE, TN
NPI
1477576700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TN 0000001692)
Enumeration Date
2006-07-26
Last Update Date
2007-07-08
Business Address
Ms. KELLEY B. SOUTHARD P.T.
639 E MAIN ST SUITE B102
HENDERSONVILLE, TN 37075-2646
Phone number: 615-826-7113
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Mailing Address
Ms. KELLEY B. SOUTHARD P.T.
639 E MAIN ST SUITE B102
HENDERSONVILLE, TN 37075-2646
Phone number: 615-826-7113
Copy
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