Bleckley, Tony
Bleckley, Tony is an individual health care provider with primary practice located at 105 W Stone Dr 1D, Kingsport TN 37660-3256. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bleckley, Tony can be contacted via phone (423) 578-1560.Contact Information
Primary practice address
105 W Stone Dr 1D
Kingsport TN 37660-3256
Phone: (423) 578-1560
Fax: (423) 392-7055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT 4928 | Tennessee |
Profile Details
| NPI number | 1619971207 |
|---|---|
| LBN Legal business name | Bleckley, Tony |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Sep 16th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619971207 | NPPES |
| Tennessee | MEDICAID | 3658782 |
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