Healthcare Provider Details

I. General information

NPI: 1336199033
Provider Name (Legal Business Name): THERAPY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 08/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8904 CROSS PARK DR
KNOXVILLE TN
37923-4703
US

IV. Provider business mailing address

PO BOX 32709
KNOXVILLE TN
37930-2709
US

V. Phone/Fax

Practice location:
  • Phone: 865-690-2671
  • Fax: 865-690-6445
Mailing address:
  • Phone: 865-558-6484
  • Fax: 865-584-4037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. BEN E. JOHNSTON
Title or Position: C.E.O.
Credential:
Phone: 865-558-6484