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Organization

ATHLETIC EDGE PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRANDON TYLER WHITWORTH DPT (OWNER/PHYSICAL THERAPIST)
(631) 790-9798
Entity
Organization

Contact information

Practice address
1440 ADAMS ST STE A, CHATTANOOGA, TN 37408
(423) 402-0778
(186) 633-4026
Mailing address
PO BOX 1132, CHATTANOOGA, TN 37401-1132

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
10299
TN

Other

Enumeration date
08/31/2016
Last updated
05/24/2018
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