Mossy Creek Rehab

LBN: Mossy Creek Rehab
Mossy Creek Rehab is an health care organization with primary practice located at 1405 S Sizer Ave , Jefferson City TN 37760-2436. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Mossy Creek Rehab can be contacted via phone (865) 246-8090, or through Matijevich, Robert Allen via phone (865) 246-8090.

Contact Information

Primary practice address
1405 S Sizer Ave Jefferson City TN 37760-2436
Phone: (865) 246-8090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Matijevich, Robert Allen
Phone: (865) 246-8090

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT0000001151 Tennessee

Profile Details

NPI number 1427386200
LBN Legal business name Mossy Creek Rehab
DBA Doing business as
Authorized official Matijevich, Robert Allen
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2009
Last updated Dec 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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