Organization
ADDITIONS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLY RENEE BAUER PT (ADMINISTRATOR)
(865) 643-0598
Entity
Organization
Contact information
Practice address
1125 GROVE ST, SUITE 120, LOUDON, TN 37774-1512
(865) 458-8080
Mailing address
1125 GROVE ST, SUITE 120, LOUDON, TN 37774-1512
(865) 458-8080
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0446686
—
TN
01
—
4131139
BCBS
—
Enumeration date
05/05/2006
Last updated
02/12/2012
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