Provider Demographics
NPI:1659870061
Name:TURNER, ISAIAH JAMES (PT,DPT)
Entity Type:Individual
Prefix:
First Name:ISAIAH
Middle Name:JAMES
Last Name:TURNER
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 TRENTON STREET
Mailing Address - Street 2:
Mailing Address - City:HARRIMAN
Mailing Address - State:TN
Mailing Address - Zip Code:37748-2443
Mailing Address - Country:US
Mailing Address - Phone:865-320-8817
Mailing Address - Fax:
Practice Address - Street 1:100 LETORY RD
Practice Address - Street 2:
Practice Address - City:WARTBURG
Practice Address - State:TN
Practice Address - Zip Code:37887-3224
Practice Address - Country:US
Practice Address - Phone:423-346-3220
Practice Address - Fax:423-346-3223
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11685225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist