Provider Demographics
NPI:1093953028
Name:SHARP, DONALD ALAN JR (PT)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:ALAN
Last Name:SHARP
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7228 NORRIS FWY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918-5744
Mailing Address - Country:US
Mailing Address - Phone:865-377-3176
Mailing Address - Fax:865-377-3187
Practice Address - Street 1:7228 NORRIS FWY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918-5744
Practice Address - Country:US
Practice Address - Phone:865-377-3176
Practice Address - Fax:865-377-3187
Is Sole Proprietor?:No
Enumeration Date:2009-01-29
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN8261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist