| NPI | 1649852989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DOUGLAS Owner/Physical Therapist 423-715-5595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2021-04-26 |