| NPI | 1689622300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RENEE BAUER Administrator 865-643-0598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-02-12 |