| NPI | 1194210005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TULLOCH Secretary 615-425-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-01-30 |