SearchTennessee225200000X

Gregory Bolt, PTA

NPI 1598773012 · on the registry since 2006

Practice

Address
101 Cherokee Pl # 107
Loudon, TN 37774
Phone
(865) 408-9344
Clinicians at this address
2

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
TN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee