NPI 1184465734

Audrey Lauren Wirick, LPTA

Practitioner Physical Therapy Assistant Kingsport, TN

Practice location

Address: 444 Clinchfield St STE 102, Kingsport, TN 37660-3859
Phone: (423) 212-5966
Mailing address: 155 Elmer Walker Rd, Jonesborough, TN 37659-3149

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 8604 (TN)

Other Physical Therapy Assistant providers in Tennessee →

Registry record

NPI: 1184465734
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2024
Record last updated: 5 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.