Individual
MS. BONNIE BASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
709 S CONCORD ST, KNOXVILLE, TN 37919-3309
(865) 637-2321
(865) 637-4664
Mailing address
7811 OAK RIDGE HWY STE 3, KNOXVILLE, TN 37931-2345
(865) 313-2445
(865) 313-2455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1022
NH
225100000X
Physical Therapist
Primary
16078
TN
225100000X
Physical Therapist
—
—
Other
Enumeration date
04/14/2006
Last updated
07/09/2025
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