Organization
VOLUNTEER PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY DIANE COX PTA (SECRETARY)
(865) 458-4199
Entity
Organization
Contact information
Practice address
15000 HIGHWAY 72 N, LOUDON, TN 37774-5452
(865) 458-4199
(865) 458-3199
Mailing address
15000 HIGHWAY 72 N, LOUDON, TN 37774-5452
(865) 458-4199
(865) 458-3199
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0000002870
TN
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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