Organization
HEALTH SPHERE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN PRYOR DPT, PHD (OWNER)
(423) 939-4003
Entity
Organization
Contact information
Practice address
3703 MAIN ST, JASPER, TN 37347-0436
(423) 939-4003
(615) 781-1009
Mailing address
PO BOX 456, JASPER, TN 37347-0456
(423) 939-4003
(423) 939-4006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1187
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0158816
BLUE CROSS
TN
05
—
3652404
—
TN
Enumeration date
06/19/2007
Last updated
08/23/2023
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