| NPI | 1952159519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MARTIN Owner 865-776-8761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QH0100X Clinic/Center, Health Services | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-13 |