Individual
MR. BRITT M. DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1904 W BROADWAY AVE, MARYVILLE, TN 37801-5402
(865) 983-8129
(865) 983-8293
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8930
(423) 285-6647
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7582
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3646922
—
TN
01
—
4135954
BLUE CROSS BLUESHIELD
TN
01
—
9452568
PRIVATE HEALTHCARE SYSTEM
—
01
—
CH4394
MEDICARE-RAILROAD GROUP ID
TN
Enumeration date
10/04/2006
Last updated
09/02/2015
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