NPI | 1215352976 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN JOHANNESON VP Revenue Cycle 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 | 2014-03-04 |
Last Update Date | 2017-09-20 |