Provider Demographics
NPI:1083665475
Name:BOND, JAMES N (DPT, ATC, LAT)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:N
Last Name:BOND
Suffix:
Gender:M
Credentials:DPT, ATC, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 CLEMON RD
Mailing Address - Street 2:
Mailing Address - City:WHITESBURG
Mailing Address - State:TN
Mailing Address - Zip Code:37891-2308
Mailing Address - Country:US
Mailing Address - Phone:423-235-2958
Mailing Address - Fax:
Practice Address - Street 1:901 E MORRIS BLVD
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-2499
Practice Address - Country:US
Practice Address - Phone:423-586-6866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN7342255A2300X
TN8422225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer