| NPI | 1093906190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA K GOUGE Owner/President 865-637-2321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 0000000870) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2024-04-02 |