Independent Physical Therapy
NPI #1467800409 in Fayetteville, Tennessee
Provider Information
- NPI Number
- 1467800409
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 1, 2016
- Last Updated
- Jun 1, 2016
Practice Location
- Address
- 1412 HUNTSVILLE HWY
- City
- Fayetteville
- State
- Tennessee
- ZIP Code
- 37334-3606
- Phone
- (931) 438-6335
Authorized Official
- Name
- KEVIN JOHANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-7217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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