| NPI | 1467728006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS SHANNON KING Sole Member, Physical Therapist 901-652-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |