Organization
FACILITATED FITNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW WILLIAM CLEMSON DPT (OWNER/ PHYSICAL THERAPIST)
(423) 218-9703
Entity
Organization
Contact information
Practice address
106 WILLOCKS RD, JOHNSON CITY, TN 37601-6274
(423) 218-9703
Mailing address
106 WILLOCKS RD, JOHNSON CITY, TN 37601-6274
(423) 218-9703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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