Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lane Evan Edmonds

Individual provider Physical Therapy Assistant · NPI 1679408611

Lane Evan Edmonds is a Physical Therapy Assistant in Elizabethton, Tennessee. Licensed in Tennessee. Registered with an NPI since 2026.

Licensed in
TN
In the registry since
2026

Practice location Address checks out

420 Railroad St
Elizabethton, TN 37643-2504
Phone: (423) 297-1813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 9138 (TN)

Record details

NPI number1679408611
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2026
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address865 Woodmont Rd, Jonesborough, TN 37659-3766

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