Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BLAKE LOGAN BOHANAN, PT, DPT
Active Sole ProprietorPhysical Therapy Assistant · KNOXVILLE, TN
Registration Details
- NPI Number
- 1467042069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 19, 2021 (5.2645607502567 yrs)
- Last Updated
- Jan 19, 2021
- License
-
13261 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4589 KINGSTON PIKEKNOXVILLE, TN, 379195229Browse TN providers · Browse ZIP 37919
- Phone
- 8652509300
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in KNOXVILLE, TN
| Name | Credential | NPI |
|---|---|---|
| MR. ERIC H ROCKWELL | PT | 1801892195 |
| MR. JAMES P MICHALIK | PT | 1487651089 |
| ADEL M HUSSEIN | P.T. | 1205833506 |
| ALAINA RAE MARINO | PT | 1275532103 |
| MICHAEL BRIAN HOAG | PHYSICAL THERAPIST | 1710968706 |
| JULIE RUTHANN WILLIAMS | PT | 1851372841 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.