Individual
MR. RANSOM TIPTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 765-9655
Mailing address
1831 CLOUDS FORD RD, KINGSPORT, TN 37660-6917
(423) 914-7572
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000005404
TN
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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