Tri State Sports Medicine and Rehabilitation INC

NPI #1922185644 in Tazewell, Tennessee

Provider Information

NPI Number: 1922185644
Entity Type: Organization
Organization Name: Tri State Sports Medicine and Rehabilitation INC
Subpart: Yes (part of a larger organization)
Parent Organization: TRI STATE SPORTS MEDICINE AND REHABILITAION, INC
Primary Specialty: Physical Therapist
Enumeration Date: Nov 1, 2006
Last Updated: Aug 30, 2018

Practice Location

Address: 2255 HIGHWAY 25E STE 4
City: Tazewell
State: Tennessee
ZIP Code: 37879
Phone: (423) 626-7848

Authorized Official

Name: DALE RICHARD CORUM
Title: OWNER
Phone: (423) 626-7848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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