| NPI | 1205165693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY BAGE Presedent 423-238-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2009-12-14 |