Organization
MAX MOTION PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE KNOWLES (PROVIDER ENROLLMENT SPECIALIST)
(423) 238-8930
Entity
Organization
Contact information
Practice address
246 OLMSTED BLVD STE D, PINEHURST, NC 28374-6005
(910) 235-0655
(910) 235-0665
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
08/30/2012
Last updated
04/22/2013
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