Organization
TENNESSEE KETAMINE & THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA ROTHERY (CEO)
(865) 304-9622
Entity
Organization
Contact information
Practice address
718 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-3943
(865) 233-6188
Mailing address
718 W LAMAR ALEXANDER PKWY, MARYVILLE, TN 37801-3943
(865) 304-9622
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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