NPI | 1730213372 |
---|---|
Former Name | AMBER DAWN MCKEE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000007231) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TN AT0000000909) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2007-07-08 |