Independent Physical Therapy, LLC

NPI #1417595364 in Murfreesboro, Tennessee

Provider Information

NPI Number: 1417595364
Entity Type: Organization
Organization Name: Independent Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Dec 11, 2019
Last Updated: Dec 11, 2019

Practice Location

Address: 2812 OLD FORT PKWY STE D
City: Murfreesboro
State: Tennessee
ZIP Code: 37128-4265
Phone: (615) 603-7374

Authorized Official

Name: KEVIN JOHANNESON
Title: VP REVENUE CYCLE
Phone: (423) 238-2313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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