Organization
ELEVATE PHYSICAL THERAPY, INC.
Active
Organization
ELEVATE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE DAVENPORT (CO-OWNER)
(615) 714-8732
Entity
Organization
Contact information
Practice address
1529 HUNT CLUB BLVD STE 100, GALLATIN, TN 37066-6066
(615) 714-8732
Mailing address
1529 HUNT CLUB BLVD STE 100, GALLATIN, TN 37066-6066
(615) 714-8732
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336524693
UNKNOWN
KY
Enumeration date
10/29/2019
Last updated
10/29/2019
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