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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