| NPI | 1649922097 |
|---|---|
| Other Name | COURTNEY WILDER |
| Entity Type | Organization |
| Authorized Contact | COURTNEY LEIGH WILDER Physical Therapist 865-850-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-01-26 |
| Last Update Date | 2022-01-26 |