Organization
REGIONAL REHABILITATION CENTER, PLLC
Active
Other names
Konala-Nuthalapaty, PLLC, Regional Rehabilitation Center, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAM NUTHALAPATY (ADMINISTRATOR)
(931) 815-1616
Entity
Organization
Contact information
Practice address
6290 MANCHESTER HWY, MORRISON, TN 37357-7589
(931) 815-1616
Mailing address
6290 MANCHESTER HWY, MORRISON, TN 37357-7589
(931) 815-1616
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3731374
—
TN
Enumeration date
07/11/2007
Last updated
04/02/2019
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