| Independent Physical Therapy | |
|
104 Jack Dance St Knoxville TN 37919-5576 | |
| (865) 691-8381 | |
| (865) 691-8574 |
| Full Name | Independent Physical Therapy |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 104 Jack Dance St, Knoxville, Tennessee |
| Authorized Official Name and Position | Marvette Wallace (DIRECTOR OF CONTRACT MANAGEMENT) |
| Authorized Official Contact | 4232387217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Physical Therapy 8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | Independent Physical Therapy 104 Jack Dance St Knoxville TN 37919-5576 Ph: (865) 691-8381 |
| NPI Number | 1215288246 |
|---|---|
| Provider Enumeration Date | 10/01/2012 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215288246 | NPI | - | NPPES |
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