Impact Physical Therapy, LLC

NPI #1174709430 in Lebanon, Tennessee

Provider Information

NPI Number: 1174709430
Entity Type: Organization
Organization Name: Impact Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 17, 2008
Last Updated: May 12, 2023

Practice Location

Address: 1430 W BADDOUR PKWY
Address 2: SUITE C
City: Lebanon
State: Tennessee
ZIP Code: 37087-2514
Phone: (615) 453-1422

Authorized Official

Name: JOHN BOUCHER, P.T.
Title: OWNER
Phone: (615) 453-1422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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