| NPI | 1720558802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN BROWNING Provider Enrollment 615-309-2636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-12-11 |