Individual
RICHARD A BOLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
313 PRINCETON RD STE 3, JOHNSON CITY, TN 37601-2000
(423) 282-5435
(423) 282-5767
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 282-5435
(423) 282-5767
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8026
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q036781
—
TN
Enumeration date
05/03/2018
Last updated
02/13/2025
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