Organization
CHATTANOOGA PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL NED IVERSON DPT, MTC (OWNER/PHYSICAL THERAPIST)
(423) 648-4490
Entity
Organization
Contact information
Practice address
1201 MARKET ST STE A, CHATTANOOGA, TN 37402-2714
(423) 648-4490
(423) 648-4491
Mailing address
1201 MARKET ST STE A, CHATTANOOGA, TN 37402-2714
(423) 648-4490
(423) 648-4491
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
6542
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1509785
—
TN
Enumeration date
06/17/2009
Last updated
04/21/2022
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