Individual
MR. JAMES KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1903 LOIRE VALLEY RD, JOHNSON CITY, TN 37604-7631
(423) 926-1632
Mailing address
1903 LOIRE VALLEY RD, JOHNSON CITY, TN 37604-7631
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1935
TN
225100000X
Physical Therapist
2305006625
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515214
—
TN
Enumeration date
03/07/2007
Last updated
06/23/2025
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