Organization
MICAH'S MEDICAL MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW HILLER (VP/COO)
(503) 916-9224
Entity
Organization
Contact information
Practice address
2721 ASBURY RD, KNOXVILLE, TN 37914-6441
(865) 329-8900
Mailing address
2721 ASBURY RD, KNOXVILLE, TN 37914-6441
(865) 329-8900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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