Independent Physical Therapy LLC

NPI #1992450894 in Maynardville, Tennessee

Provider Information

NPI Number: 1992450894
Entity Type: Organization
Organization Name: Independent Physical Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: Feb 18, 2022
Last Updated: Feb 18, 2022

Practice Location

Address: 4356 MAYNARDVILLE HWY STE 3
City: Maynardville
State: Tennessee
ZIP Code: 37807-3618
Phone: (865) 630-9030

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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