NPI | 1073196606 |
---|---|
Doing Business As | JENERGY FOR LIFE |
Entity Type | Organization |
Authorized Contact | JENNIFER DICKENS MASSIE Physical Therapist 423-258-4678 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2021-05-02 |
Last Update Date | 2021-05-02 |