Individual
JOSHUA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 TUSCULUM BLVD UNIT 9, GREENEVILLE, TN 37745-4236
(423) 798-8420
(423) 798-8422
Mailing address
1321 TUSCULUM BLVD UNIT 9, GREENEVILLE, TN 37745-4236
(423) 798-8420
(423) 798-8422
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11869
PT LICENSE
TN
Enumeration date
10/18/2018
Last updated
10/18/2018
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