Organization
CHAMPION PHYSICAL THERAPY LLC HALLS
Active
Other names
CORA Physical Therapy - Kingsport
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE KRZYMINSKI (EXEC VP)
(419) 221-6717
Entity
Organization
Contact information
Practice address
1732 N EASTMAN RD STE 1A, KINGSPORT, TN 37664-2376
(423) 390-8948
(423) 390-8949
Mailing address
PO BOX 150, LIMA, OH 45802-0150
(419) 221-6717
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/20/2018
Last updated
03/06/2024
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