Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

East Tennessee Physical Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1134504764

East Tennessee Physical Therapy LLC is a Physical Therapy Clinic/Center in Maynardville, Tennessee. Licensed in Tennessee. Registered with an NPI since 2015.

Licensed in
TN
In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4357 Maynardville Hwy
Maynardville, TN 37807
Phone: (865) 745-1799
Fax: (865) 745-1806
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 5712 (TN)

Record details

NPI number1134504764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dale Corum — Provider/Owner · (865) 745-1799
NPI enumeratedJuly 24, 2015
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022
Mailing address4357 Maynardville Hwy, Maynardville, TN 37807

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