Most Relevant Information
Provider Data
NPI Number: | 1003222639 |
Provider Name: | KEYNA HART |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | 0000004548 |
Most Important Dates
Enumeration Date: | 07/02/2014 |
Last Updated: | 07/02/2014 |
Provider Practice Location
3131 TOM AUSTIN HWY
SPRINGFIELD
TN
371724801
Practice Location Phone/Fax
Phone: | 6153827979 |
Fax: |
Provider Mailing Location
111 PARKER AVE
GREENBRIER
TN
370735268
Provider Mailing Phone/Fax
Phone: | 6158380901 |
Fax: |