Organization
INDEPENDENT PHYSICAL THERAPY OF GA LLC
Active
Organization
INDEPENDENT PHYSICAL THERAPY OF GA LLC
Active
Other names
Benchmark PT
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
980 E MAIN ST STE 300, BLUE RIDGE, GA 30513-7139
(706) 946-2035
(706) 946-2035
Mailing address
6397 LEE HWY # 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/02/2015
Last updated
10/17/2017
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