| Organization Name: | TENNESSEE THERAPEUTICS, INC. |
| NPI Number: | 1659365757 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | AGNES ABELLA (VICE PRESIDENT) |
| Mailing Address: | 2945 Maynardville Hwy Ste. 9 Maynardville |
| State: | TN US |
| Postal Code: | 378073251 |
| Phone Number: | 8659926933 |
| Fax Number: | 8659926870 |
| NPI Enumeration Date: | 09/02/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |