| NPI | 1659981637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TULLOCH President 615-370-9992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |