Individual
JOHNATHAN LEDEL GANNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2125 NORTHPOINT BLVD, HIXSON, TN 37343-4072
(423) 875-3376
(423) 875-3451
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7565
TN
Other
Enumeration date
09/26/2006
Last updated
06/13/2025
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