Organization
EVOLVE MOVEMENT THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEIGH ANN MOORE (BILLING SPECIALIST)
(931) 505-4354
Entity
Organization
Contact information
Practice address
3011 LONGFORD DR STE 7, SPRING HILL, TN 37174-6203
(615) 302-8056
(615) 302-8055
Mailing address
3011 LONGFORD DR STE 7, SPRING HILL, TN 37174-6203
(615) 302-8056
(615) 302-8055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT0000008496
BCBS PPO, HUMANA, ETNA, UNHC, CIGNA, TRI-CARE,
TN
Enumeration date
01/26/2019
Last updated
03/27/2024
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