Individual
BRANDON DREW SEALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
2300 PAVILION DR, KINGSPORT, TN 37660-4622
(423) 765-9655
Mailing address
405 WIDENER RD, KINGSPORT, TN 37663-2536
(205) 914-6254
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12154
TN
225100000X
Physical Therapist
2305212662
VA
Other
Enumeration date
04/14/2019
Last updated
04/14/2019
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