Independent Physical Therapy Of Georgia, Llc
May also be knows as Benchmark Physical Therapy
Physical Therapist in Tucker, GA(View on Map)
Legal Business Name
Independent Physical Therapy Of Georgia, Llc
Also Known As
Benchmark Physical Therapy
NPI Number
1487606539
NPI Type
Organization
Enumeration Date
05/17/2006
Specialties
(Taxonomies)Name
Code
225100000X
225XE1200X
225XH1200X
225X00000X
Primary Taxonomy
Yes
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
6397 LEE HWY STE 300
4404 HUGH HOWELL RD STE 18
City
Chattanooga
Tucker
State
TN
GA
Postal Code
37421-2564
30084-4916
Country
US
US
Telephone Number
(423) 238-7217
(770) 493-5543
Authorized Official
Name
Mr. Kevin Johanneson
Title or Position
VP REVENUE CYCLE
Telephone Number
(423) 238-7217
Identifiers
Identifier
CK9205
Identifier State
GA
Identifier Issuer
RAILROAD MEDICARE PROVIDER #
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/20/2017
Provider Address
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