Organization
LAWRENCEBURG PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY S SMITH PT (PHYSICAL THERAPIST, CO-OWNER)
(931) 766-4021
Entity
Organization
Contact information
Practice address
111 WEAKLEY CREEK RD, SUITE 3, LAWRENCEBURG, TN 38464-2237
(931) 766-4021
(931) 766-4022
Mailing address
111 WEAKLEY CREEK RD, SUITE 3, LAWRENCEBURG, TN 38464-2237
(931) 766-4021
(931) 766-4022
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5740
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3653669
—
TN
01
—
4001104
BLUE CROSS BLUE SHIELD
TN
Enumeration date
12/04/2006
Last updated
08/22/2020
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