IndividualActive
Susan West, PT
NPI 1376676635 · Pediatric Physical Therapist · Kingsport, TN
Provider details
- NPI number
- 1376676635
- Entity type
- Individual
- Primary specialty
- Pediatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1163 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2971 Fort Henry Dr
Kingsport, TN 37664-4005
Phone: (423) 230-8456
Fax: (423) 230-8496
Approximate (ZIP-level) locationGet directions
Mailing address
116 Lazy Ln
Gray, TN 37615-4272
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.