Independent Physical Therapy LLC

NPI #1043487754 in Etowah, Tennessee

Provider Information

NPI Number: 1043487754
Entity Type: Organization
Organization Name: Independent Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 12, 2008
Last Updated: Nov 14, 2019

Practice Location

Address: 878 HIGHWAY 411 N
City: Etowah
State: Tennessee
ZIP Code: 37331-1912
Phone: (423) 263-7070

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-7217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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