Organization Name: | TRI-STATE SPORTS MEDICINE AND REHABILITATION |
NPI Number: | 1437316122 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN D STALEY (PRESIDENT/OWNER) |
Mailing Address: | 305 S Broad Street New Tazewell |
State: | TN US |
Postal Code: | 37824 |
Phone Number: | 8655608550 |
Fax Number: | 8655608551 |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 06/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |