Doctor Name: | KELLIE GAETZ |
NPI Number: | 1346389889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 6584 |
Business Practice Address: | 1115 Charles Seivers Blvd Suite 22 Clinton, TN - 37716 |
Business Phone Number: | 8654630808 |
Business Fax Number: | |
Mailing Address: | 220 Melton Hill Dr, CLINTON |
State: | TN |
Postal Code: | 377167105 |
Phone Number: | 8653842298 |
Fax Number: | |
NPI Enumeration Date: | 02/05/2007 |
NPI Last Update Date: | 02/11/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 6584 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |