| NPI | 1033832514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA K MCCASKILL Owner 901-205-9534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2023-09-29 |