| NPI | 1417593625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHANNESON VP Of Payor Revenue Cycle Managemen 423-238-2313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2019-11-22 |