| NPI | 1467055376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL BLAKE HUDDLESTON Owner/Physical Therapist 615-805-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2020-11-21 |