Independent Physical Therapy LLC
NPI #1700170842 in Shelbyville, Tennessee
Provider Information
- NPI Number
- 1700170842
- Entity Type
- Organization
- Organization Name
- Independent Physical Therapy LLC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jun 7, 2011
- Last Updated
- Nov 14, 2019
Practice Location
- Address
- 1878 N MAIN ST
- City
- Shelbyville
- State
- Tennessee
- ZIP Code
- 37160-2018
- Phone
- (931) 680-9722
Authorized Official
- Name
- KEVIN JOHNANNESON
- Title
- VP REVENUE CYCLE
- Phone
- (423) 238-7217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
| Speech-Language Pathologist |
| Physical Therapist |
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