Rogue Physio LLC

NPI #1104704824 in Oak Ridge, Tennessee

Provider Information

NPI Number: 1104704824
Entity Type: Organization
Organization Name: Rogue Physio LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 21, 2025
Last Updated: Dec 1, 2025

Practice Location

Address: 564 OAK RIDGE TPKE
City: Oak Ridge
State: Tennessee
ZIP Code: 37830-7164
Phone: (865) 213-2744

Authorized Official

Name: MICHAEL DAVID BLAIR, PT DPT
Title: OWNER/ PHYSICAL THERAPIST
Phone: (865) 363-1222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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