Independent Physical Therapy

NPI #1902143308 in Smyrna, Tennessee

Provider Information

NPI Number: 1902143308
Entity Type: Organization
Organization Name: Independent Physical Therapy
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Jan 7, 2013
Last Updated: Jan 7, 2013

Practice Location

Address: 323 SAM RIDLEY PKWY W
City: Smyrna
State: Tennessee
ZIP Code: 37167-5625
Phone: (615) 751-5211

Authorized Official

Name: MARVETTE WALLACE
Title: DIRECTOR- CONTRACT MANAGEMENT
Phone: (423) 238-7217

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Clinic/Center - Occupational Medicine — Occupational Medicine	261QX0100X
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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