Organization
PHYSICAL THERAPY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC ROCKWELL (OWNER/VICE PRES)
(865) 588-4108
Entity
Organization
Contact information
Practice address
6700 BAUM DR, STE 19, KNOXVILLE, TN 37919-7334
(865) 588-4108
(865) 474-1521
Mailing address
6700 BAUM DR, STE 19, KNOXVILLE, TN 37919-7334
(865) 588-4108
(865) 474-1521
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
TN
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0050291
BLUE CROSS BLUE SHIELD
TN
05
—
3654677
—
TN
Enumeration date
03/23/2006
Last updated
04/16/2019
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