Individual
JOHN DAVID GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2120 HIGHLAND AVE, KNOXVILLE, TN 37916
(865) 525-4131
(865) 523-0086
Mailing address
141 PLEASANT RD, CLINTON, TN 37716
(865) 457-8712
(865) 523-0086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000002049
TN
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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