Independent Physical Therapy, LLC

NPI #1609359421 in Loudon, Tennessee

Provider Information

NPI Number: 1609359421
Entity Type: Organization
Organization Name: Independent Physical Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 7, 2018
Last Updated: Sep 7, 2018

Practice Location

Address: 226 VILLAGE SQUARE DR
City: Loudon
State: Tennessee
ZIP Code: 37774-2807
Phone: (865) 657-6415

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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