Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Other names
Physiotherapy Associates-Crossville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL E TARVIN (VICE PRESIDENT AND SECREATARY)
(717) 972-1100
Entity
Organization
Contact information
Practice address
118 BROWN AVE STE 104, CROSSVILLE, TN 38555-7740
(931) 456-6608
(931) 456-6673
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446557
—
TN
01
—
0626451
CIGNA
TN
01
—
4093294
BLUECROSS/BLUESHIELD/TN
TN
01
—
5186150
AETNA
TN
01
—
644001
UNITED HEALTHCARE
TN
Enumeration date
06/02/2006
Last updated
11/09/2018
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