IndividualActive
Amanda Graham, LPTA
NPI 1750987707 · Physical Therapy Assistant · Kingsport, TN
Provider details
- NPI number
- 1750987707
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LPTA
- Sex
- Female
- Sole proprietor
- No
- License
- 7194 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
875 Larry Neil Way
Kingsport, TN 37660-6368
Phone: (423) 282-9572
Approximate (ZIP-level) locationGet directions
Mailing address
2410 Susannah St
Johnson City, TN 37601-1748
Additional practice locations (2)
- 340 Steeles RdBristol, TN 37620-9532Phone: (423) 282-9011
- 2410 Susannah StJohnson City, TN 37601-1748Phone: (423) 282-9011
Registry dates
- Enumerated
- 2020-12-07
- Last updated
- 2020-12-07
- Certified
- 2020-12-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.