| NPI | 1710465067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CHAVEZ Director Of Operations 865-927-6372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: TN DC0000002327) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000024173) | |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |