Individual
GREGORY PAULIN MCCLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Mailing address
2410 SUSANNAH ST, JOHNSON CITY, TN 37601-1748
(423) 282-9011
(423) 282-0035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14071
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14071
PHYSICAL THERAPY LICENSE
TN
Enumeration date
03/01/2022
Last updated
03/01/2022
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