Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Boulder Top Pain & Spine PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1790609865

Boulder Top Pain & Spine PLLC provides Physical Medicine & Rehabilitation Physician services in Chattanooga, Tennessee. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2412 McCallie Ave
Chattanooga, TN 37404-3398
Phone: (423) 698-0221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1790609865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Calvin Fesler — Physician Owner · (303) 668-7203
NPI enumeratedAugust 10, 2026
Last updated in NPPESSeptember 3, 2026
Certification dateSeptember 3, 2026
Mailing address4980 S Lee Hwy Unit 70, Mc Donald, TN 37353-5788

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