| NPI | 1588374235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAVIS GIBSON Owner/Physical Therapist 931-472-4203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2022-12-02 |