Organization
PHYSIOFIT PHYSICAL THERAPY, LLC
Active
Other names
PhysioFit - Destrehan, LA
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE OPERATIONS)
(423) 238-7217
Entity
Organization
Contact information
Practice address
12627 AIRLINE HWY STE A, DESTREHAN, LA 70047-2550
(985) 603-4157
(985) 603-4242
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
—
—
Other
Enumeration date
02/04/2020
Last updated
02/27/2020
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