Organization
TRISTAR PHYSICAL THERAPY AND CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN BLACK (PT, DPT, OWNER)
(423) 258-2264
Entity
Organization
Contact information
Practice address
2024 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5410
(423) 317-7772
(423) 317-7773
Mailing address
2024 E ANDREW JOHNSON HWY, MORRISTOWN, TN 37814-5410
(423) 317-7772
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
11101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027222
—
TN
Enumeration date
07/17/2018
Last updated
07/17/2018
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