Provider Demographics
NPI:1578079372
Name:KNOX PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:KNOX PHYSICAL THERAPY, LLC
Other - Org Name:KNOXVILLE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EASLEY
Authorized Official - Suffix:III
Authorized Official - Credentials:DPT
Authorized Official - Phone:865-804-8921
Mailing Address - Street 1:7811 OAK RIDGE HWY STE 3
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37931-2345
Mailing Address - Country:US
Mailing Address - Phone:865-313-2445
Mailing Address - Fax:865-313-2455
Practice Address - Street 1:7811 OAK RIDGE HWY STE 3
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37931-2345
Practice Address - Country:US
Practice Address - Phone:865-804-8921
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-17
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11171225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty