| NPI | 1700030970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ANDREW WILDER President/Physical Therapist 865-809-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: TN 5832) |
| Enumeration Date | 2008-11-13 |
| Last Update Date | 2009-01-09 |