| Doctor Name: | MR. KENNETH WOODRUFF |
| NPI Number: | 1003909110 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 5634 |
| Business Practice Address: | 9047 Executive Park Dr Suite 115 Knoxville, TN - 379234605 |
| Business Phone Number: | 8655315820 |
| Business Fax Number: | 8655396461 |
| Mailing Address: | 9047 Executive Park Dr, Suite 115 KNOXVILLE |
| State: | TN |
| Postal Code: | 379234605 |
| Phone Number: | 8655315820 |
| Fax Number: | 8655396461 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/27/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 5634 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |