| NPI | 1811683956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE PADGETT Billing And Credentialing 865-404-3469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-04-12 |
| Last Update Date | 2023-04-12 |