Organization
PHYSIOFIT PHYSICAL THERAPY, LLC
Active
Other names
PhysioFit - Youngsville, LA
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
(423) 238-2313
Entity
Organization
Contact information
Practice address
624 LAFAYETTE ST STE C, YOUNGSVILLE, LA 70592
(337) 451-5947
(337) 451-6219
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
LA
225X00000X
Occupational Therapist
—
LA
Other
Enumeration date
06/19/2018
Last updated
02/04/2020
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