Individual
JOHN ALFRED HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T., A.T.C.
Contact information
Practice address
900 E JACKSON BLVD, STE 4, JONESBOROUGH, TN 37659-1505
(423) 218-1751
(423) 218-1752
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-8907
(423) 954-7408
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1421
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446557
—
TN
01
—
3127120
BC/BS OF TN
TN
Enumeration date
08/01/2006
Last updated
07/23/2014
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