Organization
LEGACY PHYSIOTHERAPY LLC
Active
Other names
Legacy PT
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEE LIANE PUGH (OWNER/MEMBER OF THE LLC)
(319) 624-0014
Entity
Organization
Contact information
Practice address
1991 PICKENS RD., CLARKSVILLE, TN 37040
(931) 624-0014
Mailing address
1991 PICKENS RD., CLARKSVILLE, TN 37040
(931) 624-0014
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
11/10/2022
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