Organization
INDEPENDENT PHYSICAL THERAPY
Active
Other names
BenchMark PT
Organization subpart
No
Provider details
NPI number
Authorized official
TROY D BAGE (PRESIDENT)
(423) 238-7217
Entity
Organization
Contact information
Practice address
7220 WELLINGTON DR, KNOXVILLE, TN 37919-5955
(865) 602-4242
(865) 602-4249
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/02/2011
Last updated
02/28/2011
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