| NPI | 1770265209 |
|---|---|
| Former Legal Business Name | ELITE MUSCLE RECOVERY |
| Entity Type | Organization |
| Authorized Contact | JAICY HARLESS Owner 423-228-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |