Provider Demographics
NPI:1831657212
Name:KNOXVILLE SPINE & SPORTS INC
Entity Type:Organization
Organization Name:KNOXVILLE SPINE & SPORTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:B
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:865-337-5574
Mailing Address - Street 1:8029 RAY MEARS BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-2710
Mailing Address - Country:US
Mailing Address - Phone:865-337-5574
Mailing Address - Fax:865-313-2461
Practice Address - Street 1:8029 RAY MEARS BLVD STE 300
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-2710
Practice Address - Country:US
Practice Address - Phone:865-337-5574
Practice Address - Fax:865-313-2461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-05
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical TherapyGroup - Multi-Specialty