Organization
BENCHMARK PHYSICAL THERAPY OF KY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
861 FAIRVIEW AVE STE 102, BOWLING GREEN, KY 42101-4939
(888) 386-7964
(888) 388-6546
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 954-7399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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