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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DALE R CORUM II, PT

Active Sole Proprietor

Physical Therapy Assistant · MAYNARDVILLE, TN

Registration Details

NPI Number
1982624250
Provider Type
Individual
Gender
Male
NPI Issued
Jul 20, 2006 (19.754945906621 yrs)
Last Updated
Jul 17, 2022
Licenses
004863 (KY)
PT0000005712 (TN)
Sole Proprietor
Yes

Practice Information

Address
4357 MAYNARDVILLE HWY
MAYNARDVILLE, TN, 378073623
Browse TN providers · Browse ZIP 37807
Phone
8657451799
Fax
8657451806
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in MAYNARDVILLE, TN

Name Credential NPI
AGNES R ABELLA P.T. 1780678987
KARISSA PETERSON 1104696384
KATIE ROBINSON PT, DPT 1295553303
HANNAH WILFORD DPT 1982419586
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.