Evan Wampler, PTA

NPI #1508315615 in Kingsport, Tennessee

Provider Information

NPI Number: 1508315615
Entity Type: Individual
Name: Evan Wampler, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Sep 30, 2016
Last Updated: Sep 30, 2016

Practice Location

Address: 2300 PAVILION DR
City: Kingsport
State: Tennessee
ZIP Code: 37660-4622
Phone: (423) 765-9655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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