| NPI | 1154823854 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KEVIN JOHANNESON VP Revenue Cycle 423-238-2313  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-03-08 | 
| Last Update Date | 2018-05-07 |