Independent Physical Therapy
NPI #1275004178 in Johnson City, Tennessee
Provider Information
- NPI Number
- 1275004178
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Dec 17, 2018
- Last Updated
- Dec 17, 2018
Practice Location
- Address
- 612 LYLE ST STE 118
- City
- Johnson City
- State
- Tennessee
- ZIP Code
- 37604-8001
- Phone
- (423) 328-3156
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-2313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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