Platinum Physical Therapy, LLC

NPI #1003075052 in Tullahoma, Tennessee

Provider Information

NPI Number: 1003075052
Entity Type: Organization
Organization Name: Platinum Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jun 5, 2008
Last Updated: Aug 25, 2010

Practice Location

Address: 1816 N WASHINGTON ST
Address 2: SUITE 101
City: Tullahoma
State: Tennessee
ZIP Code: 37388
Phone: (931) 393-2378

Authorized Official

Name: GARY R STEVENS, DO
Title: PARTNER
Phone: (931) 393-2378

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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