Organization
101 PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL L. ATKINS P.T. (PRESIDENT)
(423) 238-1301
Entity
Organization
Contact information
Practice address
5704 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-8713
(423) 238-1301
(423) 238-1302
Mailing address
5704 OOLTEWAH RINGGOLD RD, OOLTEWAH, TN 37363-8713
(423) 238-1301
(423) 238-1302
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6211
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4022229
BLUE CROSS/BLUE SHIELD
TN
Enumeration date
07/10/2006
Last updated
08/22/2020
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