| NPI | 1467084624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BENETTO Manager Of Payor And Prov Enrollmen 423-238-8923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-02-06 |
| Last Update Date | 2020-02-06 |