Individual
MR. FLOYD JOSEPH BASSLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
306 HOMEPARK RD, KINGSTON, TN 37763-4434
(865) 717-0182
(865) 717-0182
Mailing address
1511 PAINT ROCK FERRY RD, KINGSTON, TN 37763-5150
(865) 376-7938
(865) 717-0182
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5819
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4130415
BLUECROSS BLUESHIELD
TN
Enumeration date
05/08/2007
Last updated
07/08/2007
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