| NPI | 1023562014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN M SHORT Owner/Physical Therapist 865-804-4107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: KY 006766) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |