| NPI | 1568537363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOYD MICHAEL MINNICH President Owner 423-586-6866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 0000000751) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 2734) |
| 225100000X Physical Therapist (Licence: 2169) | |
| 225100000X Physical Therapist (Licence: TN 5471) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-02-04 |