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NPI Code Detail

MEDICARE: FUSION FITNESS & PHYSICAL THERAPY CENTER, LLC

MEDICARE: FUSION FITNESS & PHYSICAL THERAPY CENTER, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528064193
Entity Type Code : Organization
Provider Name (Legal Business Name) : FUSION FITNESS & PHYSICAL THERAPY CENTER, LLC
Provider Business Mailing Address
First Line : 626 CHEROKEE BLVD STE C
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37405-3302
Country : US
Telephone Number : 423-267-9146
Fax Number : 423-267-9081
Provider Business Practice Location Address
First Line : 626 CHEROKEE BLVD STE C
Second Line :
City : CHATTANOOGA
State : TN
Zip : 37405-3302
Country : US
Telephone Number : 423-267-9146
Fax Number : 423-267-9081
Authorized Official
Title or Position : ADMINISTRATOR, DIR OF PHYSICAL THER
Name : ANN MARIE MCBRIDE
Credential : PT, CSCI
Telephone Number : 423-267-9146
Provider Enumeration Date : 06/28/2005
Last Update Date : 04/02/2023

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Directions to “FUSION FITNESS & PHYSICAL THERAPY CENTER, LLC ” Practice Location

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