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NPI Code Detail

MEDICARE: DANTE WEST

MEDICARE: DANTE WEST
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
1225100000XPhysical Therapist16675TN

General Provider Information

NPI Number : 1053291682
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANTE WEST
Provider Business Mailing Address
First Line : 8320 E WALKER SPRINGS LN STE 200
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-3120
Country : US
Telephone Number : 865-769-4500
Fax Number : 865-769-4501
Provider Business Practice Location Address
First Line : 90 VERMONT AVE STE 301
Second Line :
City : OAK RIDGE
State : TN
Zip : 37830-6478
Country : US
Telephone Number : 865-482-2390
Fax Number : 865-482-2347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2025
Last Update Date : 01/15/2026

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Directions to “ DANTE WEST ” Practice Location

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