Organization
EVOLUTION PERFORMANCE AND REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN MOORE DPT (OWNER / FOUNDER / CEO)
(601) 668-6775
Entity
Organization
Contact information
Practice address
1014 4TH AVE S, NASHVILLE, TN 37210-2626
(615) 266-5599
Mailing address
4000 LIONCREST LN, THOMPSONS STATION, TN 37179-2944
(601) 668-6775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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