| NPI | 1427678069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN ELIZABETH MACGUIRE BOLLING Manager And Sole Member 865-591-8477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2020-07-29 |