Provider Demographics
NPI:1871091470
Name:PURVIS, JOHN KENNETH (RKT)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:KENNETH
Last Name:PURVIS
Suffix:
Gender:M
Credentials:RKT
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Mailing Address - Street 1:3343 MULLINS CT
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3093
Mailing Address - Country:US
Mailing Address - Phone:615-719-8963
Mailing Address - Fax:
Practice Address - Street 1:3400 LEBANON RD
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-1392
Practice Address - Country:US
Practice Address - Phone:615-225-3557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist