Organization
SPECIALIZED PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH LUKE KEACH PT, DPT (PHYSICAL THERAPIST, OWNER)
(423) 364-6183
Entity
Organization
Contact information
Practice address
6025 LEE HWY STE 445, CHATTANOOGA, TN 37421-2966
(423) 499-4043
(423) 499-4045
Mailing address
6025 LEE HWY STE 445, CHATTANOOGA, TN 37421-2966
(423) 499-4043
(423) 499-4045
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003185128A
—
GA
05
—
1524405
—
TN
Enumeration date
04/22/2011
Last updated
04/28/2017
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