Organization
AVALON THERAPY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARILYN E. BECKNER P.T., CLT-LANA (PRESIDENT)
(423) 553-8175
Entity
Organization
Contact information
Practice address
6219 VANCE RD, CHATTANOOGA, TN 37421-2979
(423) 553-8175
(423) 553-8177
Mailing address
6219 VANCE RD, CHATTANOOGA, TN 37421-2979
(423) 553-8175
(423) 553-8177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3157958
BLUE CROSS BLUE SHIELD
TN
05
—
3653366
—
TN
Enumeration date
07/26/2005
Last updated
05/21/2009
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