NPI 1023445475
Independent Physical Therapy
Practice location
- Address
- 7380 Volkswagen Dr STE 190a, Chattanooga, TN 37416-1755
- Phone
- (423) 933-1672
- Fax
- (423) 933-1675
- Mailing address
- 8823 Production Ln, Ooltewah, TN 37363-6511
Authorised official
- Name
- Kiley Russell
- Title
- Manager
- Phone
- (423) 238-7217
Registered specialties (3)
Physical Therapy Clinic/Center
Primary
Multi-Specialty Clinic/Center
Rehabilitation Clinic/Center
Registry record
- NPI
- 1023445475
- Entity type
- Organization
- NPI issued
- 1 Oct 2013
- Record last updated
- 1 Oct 2013
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.