| NPI | 1659508604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL NED IVERSON Owner/Physical Therapist 423-648-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TN 6542) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2022-04-21 |