Organization
PEDIATRICS PLUS, INC.
Active
Other names
Peds Plus
Organization subpart
No
Provider details
NPI number
Authorized official
KIM STEELE (ADMINISTRATIVE DIRECTOR)
(423) 894-4774
Entity
Organization
Contact information
Practice address
4295 CROMWELL RD, STE 206, CHATTANOOGA, TN 37421-2166
(423) 894-4774
(423) 894-4775
Mailing address
PO BOX 903, HIXSON, TN 37343-0903
(423) 894-4774
(423) 894-4775
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00446653
—
TN
01
—
3156781
BLUE CROSS BLUE SHEILD
TN
Enumeration date
02/22/2007
Last updated
04/14/2009
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