Healthcare Provider Details

I. General information

NPI: 1811834484
Provider Name (Legal Business Name): THERASTAFFING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4860 HICKORY CREEK RD
LENOIR CITY TN
37771-6964
US

IV. Provider business mailing address

PO BOX 5285
OAK RIDGE TN
37831-5285
US

V. Phone/Fax

Practice location:
  • Phone: 865-660-1202
  • Fax:
Mailing address:
  • Phone: 865-660-1202
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. RODNEY KENT LEACH
Title or Position: PHYSICAL THERAPIST
Credential: PT
Phone: 865-660-1203