# CENTER FOR SPINE, JOINT & NEUROMUSCULAR REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639102650
- **Authorized official:** MR. SON DIEP LE MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (615) 872-9966

## Contact information

- **Practice address:** 5003 CROSSING CIRCLE, SUITE 200, MT. JULIET, TN 37122-8568
- **Practice address phone:** (615) 872-9966
- **Practice address fax:** (615) 564-9300
- **Mailing address:** 5003 CROSSING CIRCLE, SUITE 200, MT. JULIET, TN 37122-8568
- **Mailing address phone:** (615) 872-9966
- **Mailing address fax:** (615) 564-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 35117 | TN | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 03/08/2022