MEDICARE: FUSION RECOVERY KNOXVILLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1972243715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUSION RECOVERY KNOXVILLE

Provider Business Mailing Address
First Line	:	130 CENTRAL AVE
Second Line	:
City	:	LAWRENCE
State	:	NY
Zip	:	11559-1332
Country	:	US
Telephone Number	:	917-873-1222
Fax Number	:

Provider Business Practice Location Address
First Line	:	4232 ASHEVILLE HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37914-3507
Country	:	US
Telephone Number	:	917-873-1222
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	YOEL GARBER
Credential	:
Telephone Number	:	917-873-1222

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	03/30/2022

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