Organization
ROOTED PHYSICAL THERAPY & PERFORMANCE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVERY DOUGLAS DPT, PT (CO-FOUNDER, PHYSICAL THERAPIST)
(260) 570-5482
Entity
Organization
Contact information
Practice address
2724 E BROADWAY AVE, MARYVILLE, TN 37804-2557
(260) 570-5482
Mailing address
2724 E BROADWAY AVE, MARYVILLE, TN 37804-2557
(260) 570-5482
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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