| NPI | 1245551860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HANSON Office Manager 865-232-1415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN 6307) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2021-08-03 |