Organization
INDEPENDENT PHYSICAL THERAPY
Active
Other names
Benchmark PT - Mount Juliet
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHANNESON (VP REVENUE CYCLE)
(423) 238-3220
Entity
Organization
Contact information
Practice address
545 N MOUNT JULIET RD, STE 1101, MOUNT JULIET, TN 37122-4416
(615) 553-4645
(615) 553-4794
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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