Individual
RONALD DAVID BRACKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
313 MANUFACTURERS RD STE 215, CHATTANOOGA, TN 37405-3337
(423) 254-5461
(800) 385-7439
Mailing address
501 FOREST LN STE A, CLEMSON, SC 29631-2621
(864) 722-0335
(800) 305-7112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6273
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517344
—
TN
Enumeration date
01/14/2010
Last updated
10/10/2017
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