| NPI | 1124170113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS LOVEDAY Director, COO Wner 865-908-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TN 5088) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |