| NPI | 1427270271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY DIANE COX Secretary 865-458-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: TN 0000002870) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |