Organization
INDEPENDENT PHYSICAL THERAPY LLC
Active
Other names
BenchMark PT
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHNANNESON (VP REVENUE CYCLE)
(423) 238-7217
Entity
Organization
Contact information
Practice address
1878 N MAIN ST, SHELBYVILLE, TN 37160-2018
(931) 680-9722
(931) 680-9797
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-4915
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/07/2011
Last updated
11/14/2019
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