Individual
BRIAN KEITH BLANKENSHIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
813 S DICKERSON RD, GOODLETTSVILLE, TN 37072-1761
(615) 859-6600
Mailing address
1314 GOSHENTOWN RD, HENDERSONVILLE, TN 37075-8837
(615) 974-2642
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5307
TN
Other
Enumeration date
08/14/2012
Last updated
08/14/2012
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