Individual
MR. BOYD MICHAEL MINNICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
420 W MORRIS BLVD, STE 180, MORRISTOWN, TN 37813-2283
(423) 586-6866
(423) 581-9679
Mailing address
420 W MORRIS BLVD, STE 180, MORRISTOWN, TN 37813-2283
(423) 586-6866
(423) 581-9679
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000000751
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101380
BLUE CROSS BLUE SHIELD
TN
05
—
3651249
—
TN
Enumeration date
12/19/2005
Last updated
02/04/2008
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