| NPI | 1902823453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L. SMITH Owner/Manager 901-756-1650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 4691) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2023-09-06 |