| NPI Details | |
|---|---|
| NPI | 1265649594 |
| Enumeration Date | 05/17/2007 |
| Last Updated | 07/08/2007 |
| Entity Type | Healthcare Provider |
| Active | Over 10 years ago |
| Authorized Information | |
|---|---|
| Name | DONNE PAUL DONNE |
| Position | OWNER |
| Phone | (606) 248-1996 |
| Fax | |
| Practice Location | |
|---|---|
| 2004 CUMBERLAND AVE SUITE 300 MIDDLESBORO KY, 40965-2829, US |
|
| Phone | (606) 248-1996 |
| Fax | |
| Business Location | |
|---|---|
| 2004 CUMBERLAND AVE SUITE 300 MIDDLESBORO KY, 40965-2829, US |
|
| Phone | (606) 248-1996 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 261QP2000X |
| License State | Kentucky |
| License Number | 4863 |
| Remove 1265649594 NPI Number | |
According to our database, Tri State Sports Medicine And Rehabilitaion, Inc NPI is 1265649594, taxonomy code is 261QP2000X and license number is 4863, license state is located at Kentucky. Tri State Sports Medicine And Rehabilitaion, Inc physically located at 2004 Cumberland Ave, Middlesboro KY, 40965-2829. NPI Number 1033115704 has the healthcare provider type.
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1265649594 NPI number is provided on an as is basis without warranty of any kind. 1265649594 is maintained by the National Plan & Provider Enumeration System. The contents of Tri State Sports Medicine And Rehabilitaion, Inc are for informational purposes only.
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