CONNOR ALEXANDER BLANTON

JOHNSON CITY, TN
NPI1285418715
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: TN  14375)
Enumeration Date2023-08-24
Last Update Date2024-01-16
Business Address
CONNOR ALEXANDER BLANTON
1043 JACK VEST DRIVE
JOHNSON CITY, TN 37614
Phone number: 423-439-5264
Mailing Address
CONNOR ALEXANDER BLANTON
1185 W MOUNTAIN VIEW RD APT 2104
JOHNSON CITY, TN 37604-2536
Phone number: 704-473-6507