Gragg, Vickie L

Gragg, Vickie L is an sole proprietor health care provider with primary practice located at 401 E Main St , Johnson City TN 37601-4877. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Gragg, Vickie L can be contacted via phone (423) 722-2062.

Contact Information

Primary practice address
401 E Main St Johnson City TN 37601-4877
Phone: (423) 722-2062
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 4161 Tennessee

Profile Details

NPI number 1952684243
LBN Legal business name Gragg, Vickie L
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 22nd, 2011
Last updated Sep 22nd, 2011 - about 14 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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