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Organization

ELEVATION THERAPY, LLC

Active
Other names
Elevation Physical and Occupational Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES T CORUM JR. DPT, COMT, CERT MDT (PRESIDENT/DPT)
(606) 269-5043
Entity
Organization

Contact information

Practice address
1510 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1223
(606) 269-5043
(606) 302-5418
Mailing address
1510 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1223
(606) 269-5043
(606) 302-5418

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist

Other

Enumeration date
09/08/2020
Last updated
09/08/2020
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