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Contact Information

LARRY D LADD, BSPT
100 E RACE ST
A
KINGSTON, TN37763
 Phone: 865-890-5051
 Fax: 865-376-6806
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LARRY D LADD · (Male)

NPI # 1851356851
Status Active
Credentials BSPT
Entity Individual
Enumeration date 04/20/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 1291
  • TN License # 35
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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