IndividualActive
Johnnie Bonner, PT
NPI 1356758098 · Geriatric Physical Therapist · Kingsport, TN
Provider details
- NPI number
- 1356758098
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- License
- PT0000000866 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2421 N John B Dennis Hwy
Kingsport, TN 37660-4773
Phone: (423) 288-3988
Approximate (ZIP-level) locationGet directions
Mailing address
2421 N John B Dennis Hwy
Kingsport, TN 37660-4773
Registry dates
- Enumerated
- 2014-07-15
- Last updated
- 2014-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.