| NPI | 1588291694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY MCSWAIN Credentialing Specialist 865-243-8183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2023-10-12 |