Johnnie Bonner
Physical Therapist - Geriatrics
2421 N John B Dennis Hwy
Kingsport
, Tennessee 37660-4773
Johnnie Bonner
Physical Therapist - Geriatrics
2421 N John B Dennis Hwy
Kingsport
, Tennessee 37660-4773
(423) 288-3988
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Johnnie Bonner
- 2421 N John B Dennis Hwy
- Kingsport, TN
- Zip : 37660-4773
- Phone : (423) 288-3988
Second Address
- Johnnie Bonner
- 2421 N John B Dennis Hwy
- Kingsport, TN
- Zip : 37660-4773
- Phone : (423) 288-3988
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | PT0000000866 | TN |
National Provider Identifier
| NPI | 1356758098 |
|---|---|
| Provider Name | Johnnie Bonner |
| First Address | Kingsport, TN 37660-4773 |
| Second Address | Kingsport, TN 37660-4773 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/07/2014 |
| Last Update Date | 15/07/2014 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.