East Tennessee Spine & Sport INC

NPI #1023101144 in Knoxville, Tennessee

Provider Information

NPI Number: 1023101144
Entity Type: Organization
Organization Name: East Tennessee Spine & Sport INC
Primary Specialty: Physical Therapist
Enumeration Date: Oct 2, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 150 N MARTINWOOD RD
Address 2: SUITE 402
City: Knoxville
State: Tennessee
ZIP Code: 37923-5124
Phone: (865) 691-5020

Authorized Official

Name: GREGORY JOHN DEFILIPPO, PHYSICAL THERAPIST
Title: PRESIDENT OWNER
Phone: (865) 689-8299

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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