Independent Physical Therpay, LLC

NPI #1508249574 in White House, Tennessee

Provider Information

NPI Number: 1508249574
Entity Type: Organization
Organization Name: Independent Physical Therpay, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 8, 2015
Last Updated: Sep 3, 2020

Practice Location

Address: 642 HIGHWAY 76
City: White House
State: Tennessee
ZIP Code: 37188-9205
Phone: (615) 672-4966

Authorized Official

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

Specialties & Taxonomy Codes

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

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