Organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Active
Parent organization
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Other names
East Tennessee Children's Hospital Physiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC.
Authorized official
ANDREW ROSENDAHL (CHIEF FINANCIAL OFFICER)
(865) 541-8154
Entity
Organization
Contact information
Practice address
2100 CLINCH AVENUE SUITE 210, KNOXVILLE, TN 37916
(865) 523-5437
(865) 541-8675
Mailing address
PO BOX 15004, KNOXVILLE, TN 37901-5004
(865) 541-8895
(865) 633-4808
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q002842
—
TN
Enumeration date
10/02/2006
Last updated
12/30/2025
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