Independent Physical Therapy LLC

NPI #1821672866 in Kingston Springs, Tennessee

Provider Information

NPI Number: 1821672866
Entity Type: Organization
Organization Name: Independent Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 6, 2021
Last Updated: May 6, 2021

Practice Location

Address: 111 W KINGSTON SPRINGS RD STE 102
City: Kingston Springs
State: Tennessee
ZIP Code: 37082-9121
Phone: (615) 412-1131

Authorized Official

Name: BRYAN BARGANIER
Title: CFO
Phone: (205) 536-7602

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X
Physical Therapist	225100000X	Primary

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