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Organization
TRI STATE SPORTS MEDICINE AND REHABILITATION INC
Active
Organization
TRI STATE SPORTS MEDICINE AND REHABILITATION INC
Active
Parent organization
TRI STATE SPORTS MEDICINE AND REHABILITAION, INC
Other names
East Tennessee Physical Therapy Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRI STATE SPORTS MEDICINE AND REHABILITAION, INC
Authorized official
DALE RICHARD CORUM (OWNER)
(423) 626-7848
Entity
Organization
Contact information
Practice address
2255 HIGHWAY 25E STE 4, TAZEWELL, TN 37879
(423) 626-7848
(423) 626-7849
Mailing address
PO BOX 1310, POWELL, TN 37849-1310
(865) 805-1218
(423) 626-7849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3108
TN
Other
Enumeration date
11/01/2006
Last updated
08/30/2018
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