| NPI | 1720742174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TULLOCH CEO 615-370-9992 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |