Individual
JUSTIN DAKOTA BROGDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
LAMONT ST &, VETERANS WAY, JOHNSON CITY, TN 37604
(423) 926-1171
Mailing address
2734 E OAKLAND AVE APT D39, JOHNSON CITY, TN 37601-7801
(985) 951-0412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16082
TN
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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