Individual
JOSHUA COLT BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 JUANITA DR, HENDERSON, TN 38340-1949
(731) 989-7598
Mailing address
412 JUANITA DR, HENDERSON, TN 38340-1949
(731) 989-7598
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0000006975
TN
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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