NPI 1013292119

Independent Physical Therapy of Georgia, LLC

Organisation Physical Therapy Clinic/Center Marietta, GA

Practice location

Address: 1205 Johnson Ferry Rd STE 130, Marietta, GA 30068-5418
Phone: (770) 565-3201
Fax: (770) 565-3203
Mailing address: 8823 Production Ln, Ooltewah, TN 37363-6511

Authorised official

Name: Troy Dale Bage
Title: President
Phone: (423) 238-7217

Registered specialties (3)

Physical Therapy Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2000X

Other Clinic/Center providers in Georgia →

Multi-Specialty Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Rehabilitation Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0400X

Registry record

NPI: 1013292119
Entity type: Organization
NPI issued: 20 Oct 2011
Record last updated: 1 Nov 2011

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.