IndividualActive
Kenneth Woodruff, RPT
NPI 1003909110 · Geriatric Physical Therapist · Knoxville, TN
Provider details
- NPI number
- 1003909110
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- RPT
- Sex
- Male
- Sole proprietor
- No
- License
- 5634 (TN)
Practice location
9047 Executive Park Dr
Suite 115
Knoxville, TN 37923-4605
Phone: (865) 531-5820
Fax: (865) 539-6461
Mailing address
9047 Executive Park Dr
Knoxville, TN 37923-4605
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.