| NPI | 1245317783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DOUGLAS BAILEY Presidant 865-588-6358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000003376) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2011-09-28 |