| NPI | 1972812808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RANDALL STOOKSBURY Owner 865-257-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TN 7046) |
| Enumeration Date | 2010-09-27 |
| Last Update Date | 2010-09-27 |