Organization
INDEPENDENT PHYSICAL THERAPY, LLC
Active
Other names
BENCHMARK PT
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE MANAGER)
(423) 238-7217
Entity
Organization
Contact information
Practice address
1227 ROCKBRIDGE RD STE 212, STONE MOUNTAIN, GA 30087-3040
(770) 925-9210
(770) 925-7989
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/11/2014
Last updated
10/24/2022
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