Organization
MAXIMUM POTENTIAL PHYSICAL THERAPY, PLLC
Active
Organization
MAXIMUM POTENTIAL PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN LAY (PHYSICAL THERAPIST)
(423) 912-6085
Entity
Organization
Contact information
Practice address
2189 HIGHWAY 297, JELLICO, TN 37762-3416
(423) 912-6085
Mailing address
2189 HIGHWAY 297, JELLICO, TN 37762-3416
(423) 912-6085
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000009852
TN
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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