Individual
MRS. LEANNE WEEMS GREGG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
413 W BROADWAY, NEWPORT, TN 37821-2219
(423) 623-7777
(423) 623-0707
Mailing address
287 WASHINGTON AVE, NEWPORT, TN 37821-4033
(423) 613-5924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT1598
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3135977
BCBS PROVIDER NUMBER
TN
05
—
3651982
—
TN
Enumeration date
08/15/2005
Last updated
07/09/2007
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