Organization
ROGUE PHYSIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID BLAIR PT DPT (OWNER/ PHYSICAL THERAPIST)
(865) 363-1222
Entity
Organization
Contact information
Practice address
564 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7164
(865) 213-2744
(865) 315-7033
Mailing address
564 OAK RIDGE TPKE, OAK RIDGE, TN 37830-7164
(865) 213-2744
(865) 315-7033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
12/01/2025
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