Individual
JONATHAN DANIEL GREENLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
301 S WATAUGA AVE, ELIZABETHTON, TN 37643-3546
(423) 542-6512
Mailing address
1304 PLANTATION DR, JOHNSON CITY, TN 37604-6312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4960
TN
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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