NPI 1982252581

Independent Physical Therapy

Organisation Physical Therapist Tullahoma, TN

Practice location

Address: 1802 N Jackson St STE 700, Tullahoma, TN 37388-8252
Phone: (931) 222-4482
Mailing address: 6397 Lee Hwy STE 300, Chattanooga, TN 37421-4915

Authorised official

Name: Kevin Johanneson
Title: Vp Revenue Cycle
Phone: (423) 238-2313

Registered specialties (3)

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

Other Physical Therapist providers in Tennessee →

Occupational Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1982252581
Entity type: Organization
NPI issued: 28 Aug 2019
Record last updated: 28 Aug 2019

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.