| NPI | 1437635034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN BLACK PT, D PT, Owner 423-258-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN 11101) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |