Independent Physical Therapy

NPI #1770020240 in Mount Juliet, Tennessee

Provider Information

NPI Number
1770020240
Entity Type
Organization
Organization Name
Independent Physical Therapy
Primary Specialty
Physical Therapist
Enumeration Date
Jan 23, 2017
Last Updated
Jan 23, 2017

Practice Location

Address
545 N MOUNT JULIET RD
Address 2
STE 1101
ZIP Code
37122-4416
Phone
(615) 553-4645

Authorized Official

Name
KEVIN JOHANNESON
Title
VP REVENUE CYCLE
Phone
(423) 238-3220

Specialties & Taxonomy Codes

Specialty
Occupational Therapist
Speech-Language Pathologist
Physical Therapist

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