Organization
REBIRTH ADVANCED HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON TREY STAPLETON (OWNER)
(865) 323-2500
Entity
Organization
Contact information
Practice address
207 E MAIN ST STE 3A2, JOHNSON CITY, TN 37604-5749
(833) 870-0904
Mailing address
207 E MAIN ST STE 3A2, JOHNSON CITY, TN 37604-5749
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
08/16/2024
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