Organization Name: | PHYSIOTHERAPY ASSOCIATES INC |
NPI Number: | 1083652184 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL E TARVIN (VICE PRESIDENT AND SECREATARY) |
Mailing Address: | 118 Brown Ave Ste 104 Crossville |
State: | TN US |
Postal Code: | 385557740 |
Phone Number: | 9314566608 |
Fax Number: | 9314566673 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 04/26/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |