| NPI | 1659009744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JORDAN GOTSHALL Physical Therapist 423-598-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2022-08-08 |