Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Rehab & Aquatics

Organization Physical Therapist · NPI 1760502520

Southern Rehab & Aquatics is a Physical Therapist in Kimball, Tennessee. Licensed in Tennessee. Registered with an NPI since 2007.

Licensed in
TN
In the registry since
2007

Practice location Address checks out

400 Dixie Lee Center Rd Ste A
Kimball, TN 37347-5672
Phone: (423) 837-7536
Fax: (423) 837-7538
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT0000006009 (TN)

Record details

NPI number1760502520
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Trace Kennemore — Pt · (423) 837-7536
NPI enumeratedMarch 29, 2007
Last updated in NPPESApril 28, 2008
Mailing address400 Dixie Lee Center Rd, Kimball, TN 37347-5672

Other providers in Kimball