Organization · Type 2 NPI

East Tennessee Children's Hospital Association, Inc.

Pediatric Rehabilitation Medicine Physician · Knoxville, TN

NPI number 1629161880 Active

Practice location

2100 Clinch Ave Ste 210
Knoxville, TN 37916-2297

Fax (865) 541-8675

Mailing address

PO Box 50068
Knoxville, TN 37950-0068

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Pediatric Rehabilitation Medicine Physician Primary 2081P0010XNone listed
Rehabilitation Clinic/Center 261QR0400XNone listed

Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…

Another provider at this address

About NPI 1629161880

East Tennessee Children's Hospital Association, Inc.'s National Provider Identifier is 1629161880, issued on Oct 2, 2006. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Knoxville, TN. The record was last updated on Sep 5, 2026.