Organization
CRYOSTRETCH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN J HALL PT (OWNER)
(865) 724-4542
Entity
Organization
Contact information
Practice address
9411 S NORTHSHORE DR STE 101, KNOXVILLE, TN 37922-8820
(865) 724-4542
Mailing address
9411 S NORTHSHORE DR STE 101, KNOXVILLE, TN 37922-8820
(865) 724-4542
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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