Independent Physical Therapy, LLC
NPI #1265857908 in Jonesborough, Tennessee
Provider Information
- NPI Number
- 1265857908
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy, LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Mar 4, 2014
- Last Updated
- Dec 29, 2019
Practice Location
- Address
- 900 E JACKSON BLVD STE 4
- City
- Jonesborough
- State
- Tennessee
- ZIP Code
- 37659-1505
- Phone
- (423) 218-1751
Authorized Official
- Name
- LISA BENETTO
- Title
- MANAGER PAYER & PROVIDER ENROLLMENT
- Phone
- (423) 238-8923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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