Provider Demographics
NPI:1780692954
Name:GALLOWAY, JOSEPH SEAN (PT)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:SEAN
Last Name:GALLOWAY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:106 ENGLISH CT
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-8763
Mailing Address - Country:US
Mailing Address - Phone:865-220-9569
Mailing Address - Fax:865-220-9569
Practice Address - Street 1:950 MAIN ST
Practice Address - Street 2:SUITE B
Practice Address - City:WARTBURG
Practice Address - State:TN
Practice Address - Zip Code:37887-4309
Practice Address - Country:US
Practice Address - Phone:423-346-7333
Practice Address - Fax:423-346-7337
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNPT00000042352251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic