Organization
COLONIAL HEIGHTS PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH WILLIAM MAST JR. PT (OWNER PHYSICAL THERAPIST)
(423) 239-5774
Entity
Organization
Contact information
Practice address
5334 FORT HENRY DR, KINGSPORT, TN 37663-3729
(423) 239-5774
(423) 239-5975
Mailing address
PO BOX 6182, KINGSPORT, TN 37663-1182
(423) 239-5774
(423) 239-5975
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
TN
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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