Healthcare Provider Details

I. General information

NPI: 1831657212
Provider Name (Legal Business Name): KNOXVILLE SPINE & SPORTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2019
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 MONTBROOK LN STE 203
KNOXVILLE TN
37919-2715
US

IV. Provider business mailing address

430 MONTBROOK LN STE 203
KNOXVILLE TN
37919-2715
US

V. Phone/Fax

Practice location:
  • Phone: 865-337-5574
  • Fax: 865-313-2461
Mailing address:
  • Phone: 865-337-5574
  • Fax: 865-313-2461

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. JAMES B SOLOMON JR.
Title or Position: PRESIDENT
Credential: DC
Phone: 865-337-5574