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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