| NPI | 1427386200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ALLEN MATIJEVICH Owner 865-246-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN PT0000001151) |
| Enumeration Date | 2009-12-06 |
| Last Update Date | 2009-12-06 |