| NPI | 1285771527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH WILLIAM MAST Owner Physical Therapist 423-239-5774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |