Individual
MR. RICKIE RAY BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC,LAT, PTA
Contact information
Practice address
2201 HIGHWAY 11W S, RUTLEDGE, TN 37861-5276
(865) 828-5291
Mailing address
2230 JOHNS DR, MORRISTOWN, TN 37814-5916
(865) 323-4856
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000052
TN
246Z00000X
Other Specialist/Technologist
5628
TN
Other
Enumeration date
10/06/2005
Last updated
02/10/2014
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