Individual
MR. BRIAN ALVIN MCCLELLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3810
(423) 224-5510
(423) 224-5544
Mailing address
406 CREEKSIDE DR, MOUNT CARMEL, TN 37645-3678
(423) 384-5431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7276
TN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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