Doctor Name: | DR. DENNIS RAY BLEVINS |
NPI Number: | 1699142703 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT003547 |
Business Practice Address: | 400 Dixie Lee Center Rd Suite A Kimball, TN - 373475672 |
Business Phone Number: | 4238377536 |
Business Fax Number: | 4238377538 |
Mailing Address: | 400 Dixie Lee Center Rd, Suite A KIMBALL |
State: | TN |
Postal Code: | 373475672 |
Phone Number: | 4238377536 |
Fax Number: | 4238377538 |
NPI Enumeration Date: | 08/24/2015 |
NPI Last Update Date: | 08/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT003547 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |