Organization
PHYSIOTHERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE LEECH (CONTROLLER)
(901) 685-7227
Entity
Organization
Contact information
Practice address
2464 GETZ RD, FORT WAYNE, IN 46804-1632
(260) 436-9710
(260) 436-9419
Mailing address
3250 PLAYERS CLUB PKWY, MEMPHIS, TN 38125-8844
(901) 685-7227
(901) 748-3492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175000
ANTHEM
IN
Enumeration date
11/08/2006
Last updated
08/22/2020
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