Organization
ROCKY TOP THERAPEUTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL CARR (OWNER)
(865) 803-4318
Entity
Organization
Contact information
Practice address
1556 WARPATH DR, KINGSPORT, TN 37664-3360
(865) 803-4318
Mailing address
1556 WARPATH DR, KINGSPORT, TN 37664-3360
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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