| Dr Dennis Ray Blevins Jr, DPT | |
|
400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347-5672 | |
| (423) 837-7536 | |
| (423) 837-7538 |
| Full Name | Dr Dennis Ray Blevins Jr |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 400 Dixie Lee Center Rd, Kimball, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699142703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT003547 (West Virginia) | Primary |
| Provider Name | Southern Rehab & Aquatics |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760502520 PECOS PAC ID: 7810917051 Enrollment ID: O20051201000894 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dennis Ray Blevins Jr, DPT 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347-5672 Ph: (423) 837-7536 | Dr Dennis Ray Blevins Jr, DPT 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347-5672 Ph: (423) 837-7536 |
Mrs. Kacie Mcclendon Hayes, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Dixie Lee Center Rd Ste A, Kimball, TN 37347 Phone: 423-837-7536 | |
Rachel Carter, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347 Phone: 423-837-7536 Fax: 423-837-7538 | |
Southern Rehab & Aquatics Physical Therapist Medicare: Medicare Enrolled Practice Location: 400 Dixie Lee Center Rd, Suite A, Kimball, TN 37347 Phone: 423-837-7536 Fax: 423-837-7538 | |
Tracy Dewayne Kennemore, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 Dixie Lee Center Rd, Kimball, TN 37347 Phone: 423-837-7536 Fax: 423-837-7538 |