Individual
MICAH DANIEL REPPUHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
501 ADESA BLVD STE A140, LENOIR CITY, TN 37771-6720
(865) 333-1461
Mailing address
1207 LUTTRELL ST, KNOXVILLE, TN 37917-6630
(865) 964-6829
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13028
TN
2251X0800X
Orthopedic Physical Therapist
13028
TN
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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