Individual
DR. JACOB WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
110 E CENTER ST, KINGSPORT, TN 37660-4230
(423) 765-1611
(423) 765-1612
Mailing address
406 ROY MARTIN RD STE 9, GRAY, TN 37615-2245
(423) 477-1101
(423) 477-1102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10249
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6025087
BCBSTN
TN
05
—
Q010967
—
TN
Enumeration date
09/10/2014
Last updated
01/16/2020
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