Gannaway, Johnathan Ledel

Gannaway, Johnathan Ledel is an individual health care provider with primary practice located at 2125 Northpoint Blvd , Hixson TN 37343-4072. 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. Gannaway, Johnathan Ledel can be contacted via phone (423) 875-3376.

Contact Information

Primary practice address
2125 Northpoint Blvd Hixson TN 37343-4072
Phone: (423) 875-3376
Fax: (423) 875-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7565 Tennessee

Profile Details

NPI number 1588765275
LBN Legal business name Gannaway, Johnathan Ledel
Credentials D.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Dec 17th, 2013 - about 11 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.

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