Provider Demographics
NPI:1881663862
Name:KING, PATRICIA MARIE (PT, PHD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:MARIE
Last Name:KING
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:279 FREE HILL RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37615-3147
Mailing Address - Country:US
Mailing Address - Phone:615-268-8922
Mailing Address - Fax:865-637-4664
Practice Address - Street 1:709 S CONCORD ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-3309
Practice Address - Country:US
Practice Address - Phone:865-637-2321
Practice Address - Fax:865-637-4664
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR3353225100000X
TN669225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist