Dr. Devin Bastian, DPT, PT
Physical Therapist in Maryville, TN. Individual provider (NPI-1).
NPI number1700569100
StatusActive
Last updated in NPPESAug 11, 2023
Details
- NPI
- 1700569100
- Entity type
- Individual (NPI-1)
- Name
- Dr. Devin Bastian
- Credential
- DPT, PT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2023
- Certification date
- Aug 11, 2023
- Last updated
- Aug 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 14825 | TN | Yes |
Practice location
398 Olympia DrMaryville, TN 37804-5701
Phone 865-233-1080
Mailing address
398 Olympia DrMaryville, TN 37804-5701
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