| NPI | 1407453269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LOHSE Owner 615-850-5290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |