Whalio Doctors

NPI 1043996473

Greg Mytyk, AT

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician Knoxville, TN

Practice location

Address
1551 Lake Loudon Blvd, Knoxville, TN 37916-4009
Phone
(865) 210-3030

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 000001670 (TN)

Registry record

NPI
1043996473
Entity type
Individual
Sex (as registered)
Male
NPI issued
22 Jun 2023
Record last updated
22 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.