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Ransom Tipton II, PTA

Physical Therapy Assistant in Kingsport, TN. Individual provider (NPI-1).

NPI number1548657828
StatusActive
Last updated in NPPESApr 23, 2015

Details

NPI
1548657828
Entity type
Individual (NPI-1)
Name
Mr. Ransom Tipton II
Credential
PTA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 23, 2015
Last updated
Apr 23, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA0000005404TNYes

Practice location

2300 Pavilion Dr
Kingsport, TN 37660-4622

Phone 423-765-9655

Mailing address

1831 Clouds Ford Rd
Kingsport, TN 37660-6917

Phone 423-914-7572

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