Organization
PHYSICAL MEDICINE CENTER OF THE CUMBERLANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD A. HUITT PT, CERT. MDT, CSCS (PRESIDENT/OWNER)
(931) 823-1200
Entity
Organization
Contact information
Practice address
7385 BRADFORD HICKS DR, LIVINGSTON, TN 38570-2239
(931) 823-1200
(931) 823-1209
Mailing address
PO BOX 494, LIVINGSTON, TN 38570-0494
(931) 823-1200
(931) 823-1209
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3051351
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
07/28/2005
Last updated
06/06/2013
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