OrganizationActive
Advanced Therapy of Kingsport
NPI 1053640193 · Physical Therapist · Kingsport, TN
Provider details
- NPI number
- 1053640193
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Talley, Owner/P.t.(423) 230-6323
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1101 E Stone Dr Ste 3
Kingsport, TN 37660-3384
Phone: (423) 230-6323
Approximate (ZIP-level) locationGet directions
Mailing address
1101 E Stone Dr Ste 3
Kingsport, TN 37660-3384
Registry dates
- Enumerated
- 2009-12-21
- Last updated
- 2009-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.