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1982636049
KELLY LEE TODD
LEXINGTON, TN
NPI
1982636049
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN 3638)
Enumeration Date
2006-07-07
Last Update Date
2009-07-17
Business Address
-- KELLY LEE TODD PTA
759 W CHURCH ST
LEXINGTON, TN 38351-1738
Phone number: 731-967-3224
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Mailing Address
-- KELLY LEE TODD PTA
1804 HIGHWAY 45 BYP STE 604
JACKSON, TN 38305-4436
Phone number: 731-660-8759
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