Organization
RIBBONS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY SHEREE KING PT (PRESIDENT)
(423) 251-4742
Entity
Organization
Contact information
Practice address
300 CLINCHFIELD ST STE 320, KINGSPORT, TN 37660-3855
(423) 483-5195
Mailing address
4130 BRADFORD LN, JOHNSON CITY, TN 37601-1065
(423) 251-4742
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/05/2020
Last updated
05/26/2020
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