Provider Demographics
NPI:1265768188
Name:ASSOCIATED THERAPY SERVICES OF UNICOI COUNTY
Entity type:Organization
Organization Name:ASSOCIATED THERAPY SERVICES OF UNICOI COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:EVERT
Authorized Official - Last Name:CAPPS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:423-743-1245
Mailing Address - Street 1:501 W MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37604-6603
Mailing Address - Country:US
Mailing Address - Phone:423-743-1245
Mailing Address - Fax:423-743-2885
Practice Address - Street 1:800 S MOHAWK DR
Practice Address - Street 2:
Practice Address - City:ERWIN
Practice Address - State:TN
Practice Address - Zip Code:37650-2124
Practice Address - Country:US
Practice Address - Phone:423-743-1245
Practice Address - Fax:423-743-2885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy