Provider Demographics
NPI:1215262753
Name:PIOQUINTO, JOSEPH RONIE T (DPT)
Entity type:Individual
Prefix:
First Name:JOSEPH RONIE
Middle Name:T
Last Name:PIOQUINTO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:RONIE
Other - Middle Name:TORRALBA
Other - Last Name:PIOQUINTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:PO BOX 5068
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37663-0068
Mailing Address - Country:US
Mailing Address - Phone:423-367-4787
Mailing Address - Fax:
Practice Address - Street 1:655 SEVENT STREET
Practice Address - Street 2:
Practice Address - City:ROBINS AFB
Practice Address - State:GA
Practice Address - Zip Code:31098-2235
Practice Address - Country:US
Practice Address - Phone:478-327-7798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-15
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8274225100000X, 171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist