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

Individual provider Physical Therapy Assistant · NPI 1669034682

Victoria Gillenwater is a Physical Therapy Assistant in Kingsport, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
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Practice location Address checks out

2300 Pavilion Dr
Kingsport, TN 37660-4622
Phone: (423) 765-9655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 0000005364 (TN)

Record details

NPI number1669034682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2019
Last updated in NPPESJune 29, 2019

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