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Organization

SGM PHYSICAL THERAPY

Active
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Organization

SGM PHYSICAL THERAPY

Active
Other names
Steve Metternich Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN G METTERNICH PT (COOWNER)
(812) 236-5952
Entity
Organization

Contact information

Practice address
410 N 2ND ST, MARSHALL, IL 62441-1010
(217) 826-2365
Mailing address
513 CONESTOGA CT, TERRE HAUTE, IN 47803-4218
(812) 236-5952

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001283001
BCBS GROUP NUMBER
IL
01
—
1154441244
BLUE CROSS GROUP NPI#
IL
05
—
344443227001
—
IL
01
—
DF1743
RAILROAD MEDICARE
IL
01
—
DF8520
RAILROAD MEDICARE GROUP
IL
Enumeration date
03/30/2007
Last updated
04/20/2008
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