East Tennessee Physical Therapy LLC
NPI #1134504764 in Maynardville, Tennessee
Provider Information
- NPI Number
- 1134504764
- Entity Type
- Organization
- Organization Name
- East Tennessee Physical Therapy LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Jul 24, 2015
- Last Updated
- Dec 29, 2022
Practice Location
- Address
- 4357 MAYNARDVILLE HWY
- City
- Maynardville
- State
- Tennessee
- ZIP Code
- 37807
- Phone
- (865) 745-1799
Authorized Official
- Name
- DALE R CORUM II, PT OCS
- Title
- PROVIDER/OWNER
- Phone
- (865) 745-1799
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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