Organization
MISSION HOPE PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY BUCKNER (OWNER)
(865) 585-1307
Entity
Organization
Contact information
Practice address
3925 MAYNARDVILLE HWY STE 1, MAYNARDVILLE, TN 37807-3552
(865) 585-1307
Mailing address
3925 MAYNARDVILLE HWY STE 1, MAYNARDVILLE, TN 37807-3552
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/21/2019
Last updated
03/24/2025
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