Organization
PIERCE PHYSICAL THERAPY
Active
Other names
PIERCE SPORTS THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND R PIERCE M.S., P.T. (CLINIC DIRECTOR PHYSICAL THERAPIST)
(865) 483-0383
Entity
Organization
Contact information
Practice address
661 EMORY VALLEY RD, SUITE A, OAK RIDGE, TN 37830-7763
(865) 483-0383
(865) 483-0533
Mailing address
661 EMORY VALLEY RD, SUITE A, OAK RIDGE, TN 37830-7763
(865) 483-0383
(865) 483-0533
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1362
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134919
UNITED HEALTHCARE
TN
05
—
3724563
—
TN
01
—
4023490
BLUE CROSS BLUE SHIELD
TN
01
—
5564393
AETNA
TN
Enumeration date
05/24/2006
Last updated
08/22/2020
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