Independent Physical Therapy, LLC

NPI #1205204500 in Maryville, Tennessee

Provider Information

NPI Number
1205204500
Entity Type
Organization
Organization Name
Independent Physical Therapy, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Sep 3, 2015
Last Updated
Sep 3, 2015

Practice Location

Address
1904 W BROADWAY AVE
ZIP Code
37801-5402
Phone
(865) 983-8129

Authorized Official

Name
KEVIN JOHANNESON
Title
VP REVENUE CYCLE
Phone
(423) 238-8923

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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