Organization
PLATEAU PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK BURRIS (ADMINISTRATOR)
(931) 456-1818
Entity
Organization
Contact information
Practice address
707 S MAIN ST, CROSSVILLE, TN 38555
(931) 456-1818
(931) 456-4458
Mailing address
707 S MAIN ST, CROSSVILLE, TN 38555
(931) 456-1818
(931) 456-4458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3114063
BCBS
TN
Enumeration date
03/03/2006
Last updated
08/22/2020
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