| NPI | 1639700990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BROWNING Provider Enrollment 615-309-2636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-08-05 |