Organization
ORTHOTENNESSEE, PC
Active
Other names
OrthoTennessee Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN SUMNER (CEO)
(865) 769-4545
Entity
Organization
Contact information
Practice address
460 MEDICAL PARK DRIVE, SUITE 105, LENOIR CITY, TN 37772
(865) 988-3925
(865) 988-6986
Mailing address
460 MEDICAL PARK DRIVE, SUITE 105, LENOIR CITY, TN 37772
(865) 988-3925
(865) 988-6986
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3711622
MEDICARE
TN
Enumeration date
09/18/2007
Last updated
03/13/2009
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