Individual
LESLIE M MACDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1300 BLOOMINGDALE PIKE, KINGSPORT, TN 37660-2685
(865) 531-2204
Mailing address
2811 WALLACE CT, KINGSPORT, TN 37664-5832
(334) 202-2715
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8404
TN
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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