Individual
NOELLE M EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
207 N BOONE ST STE 300, JOHNSON CITY, TN 37604-5675
(423) 662-4100
(423) 205-2444
Mailing address
207 N BOONE ST STE 300, JOHNSON CITY, TN 37604-5675
(423) 662-4100
(423) 205-2444
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9899
TN
2251X0800X
Orthopedic Physical Therapist
9899
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q005452
—
TN
Enumeration date
02/12/2014
Last updated
09/06/2022
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