Independent Physical Therapy

NPI #1073853867 in Maryville, Tennessee

Provider Information

NPI Number: 1073853867
Entity Type: Organization
Organization Name: Independent Physical Therapy
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Feb 15, 2013
Last Updated: Feb 15, 2013

Practice Location

Address: 2324 MARKET PLACE DR
City: Maryville
State: Tennessee
ZIP Code: 37801-8704
Phone: (865) 643-8681

Authorized Official

Name: MARVETTE WALLACE
Title: DIRECTOR - CONTRACT MANAGEMENT
Phone: (423) 238-8907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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