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Individual

DUSTIN HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
9411 S NORTHSHORE DR STE 101, KNOXVILLE, TN 37922-8820
(865) 766-2796
Mailing address
202 SHERWOOD DR, MARYVILLE, TN 37801-4621
(865) 724-4542

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8036
TN

Other

Enumeration date
05/13/2020
Last updated
02/08/2021
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