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Contact Information

CONNOR A BLANTON
1043 JACK VEST DRIVE
JOHNSON CITY, TN37614
 Phone: 423-439-5264
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CONNOR A BLANTON · (Male)

NPI # 1285418715
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2023
Last updated 01/16/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 14375
  • TN Medicaid Q086335
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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