Organization
ELITE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON RANDALL STOOKSBURY PT (OWNER)
(865) 257-8700
Entity
Organization
Contact information
Practice address
7545 BARNETT WAY, POWELL, TN 37849-3565
(865) 257-8700
Mailing address
PO BOX 1787, POWELL, TN 37849-1787
(865) 257-8700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7046
TN
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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