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Organization

MOSSY CREEK REHAB

Active
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Organization

MOSSY CREEK REHAB

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDSAY MATIJEVICH (OWNER)
(865) 262-9044
Entity
Organization

Contact information

Practice address
1405 S SIZER AVE, JEFFERSON CITY, TN 37760-2436
(865) 246-8090
Mailing address
1405 S SIZER AVE STE B, JEFFERSON CITY, TN 37760-2421
(865) 262-9044
(865) 262-9045

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000001151
TN

Other

Enumeration date
12/06/2009
Last updated
01/28/2026
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