| NPI | 1265723464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH LUKE KEACH Physical Therapist, Owner 423-364-6183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-04-22 |
| Last Update Date | 2017-04-28 |