Individual
GREG L CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000001129
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1129
TN PT LICENSE
TN
Enumeration date
04/18/2007
Last updated
12/16/2019
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