| NPI | 1508599879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY HUMPHREY Compliance Officer 865-691-9055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |