Organization
INNOVATIVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER M. SCHOOLFIELD (OWNER)
(501) 515-0110
Entity
Organization
Contact information
Practice address
620 TRACE DR, JACKSON, TN 38305-1584
(501) 515-0110
(870) 482-1515
Mailing address
620 TRACE DR, JACKSON, TN 38305-1584
(501) 515-0110
(870) 482-1515
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0000006287
TN
Other
Enumeration date
12/12/2006
Last updated
01/23/2008
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