Provider Demographics
NPI:1043972615
Name:TAP TO TREAT
Entity type:Organization
Organization Name:TAP TO TREAT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-888-7890
Mailing Address - Street 1:PO BOX 10151
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37939-0151
Mailing Address - Country:US
Mailing Address - Phone:865-888-7890
Mailing Address - Fax:865-205-1092
Practice Address - Street 1:3286 N PARK BLVD STE G
Practice Address - Street 2:
Practice Address - City:ALCOA
Practice Address - State:TN
Practice Address - Zip Code:37701-3275
Practice Address - Country:US
Practice Address - Phone:865-888-7890
Practice Address - Fax:865-205-1092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine