MEDICARE: KATHY WILBOURN BOLTON PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	2498	TN

General Provider Information

NPI Number	:	1033663422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY WILBOURN BOLTON PT

Provider Business Mailing Address
First Line	:	112 BRADFORD BLVD
Second Line	:	SUITE 500
City	:	GORDONSVILLE
State	:	TN
Zip	:	38563-4600
Country	:	US
Telephone Number	:	615-683-3010
Fax Number	:	615-683-3016

Provider Business Practice Location Address
First Line	:	8537 ASHEVILLE HWY
Second Line	:	SUITE 201
City	:	KNOXVILLE
State	:	TN
Zip	:	37924-4124
Country	:	US
Telephone Number	:	865-225-7300
Fax Number	:	865-225-7301

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2016
Last Update Date	:	08/15/2016

Similar Medicare Providers

1851372841 — JULIE RUTHANN WILLIAMS PT
Practice Location Address:

8537 ASHEVILLE HWY , SUITE 201
KNOXVILLE, TN
37924-4124

Practice Phone: 865-225-7300
Practice Fax: 865-225-7301

1639479173 — DRAYER PHYSICAL THERAPY INSTITUTE LLC
Practice Location Address:

8537 ASHEVILLE HWY , SUITE 201
KNOXVILLE, TN
37924-4124

Practice Phone: 865-225-7300
Practice Fax: 865-225-7301

1770855819 — EVAN T BECKMAN DPT
Practice Location Address:

8537 ASHEVILLE HWY , SUITE 201
KNOXVILLE, TN
37924-4124

Practice Phone: 865-225-7300
Practice Fax: 865-225-7301

1396160644 — DRAYER PHYSICAL THERAPY OF TENNESSEE LLC
Practice Location Address:

8537 ASHEVILLE HWY , SUITE 201
KNOXVILLE, TN
37924-4124

Practice Phone: 865-225-7300
Practice Fax: 865-225-7301

1255001327 — ROCKY TOP CHIROPRACTIC LLC
Practice Location Address:

5908 TOOLE DR STE EF
KNOXVILLE, TN
37919-4124

Practice Phone: 865-444-5994
Practice Fax: 865-351-5230

1013770809 — MS. WENDY G. KIRCHHOFER BSN, RN, GERO-BC
Practice Location Address:

4417 COSTER RD
KNOXVILLE, TN
37912-4124

Practice Phone: 865-566-8437
Practice Fax:

Directions to “ KATHY WILBOURN BOLTON PT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.