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General NPI Number Information
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NPI Number | 1164314118
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Entity Type | Organization
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Legal Business Name | TRIUMPH PHYSICAL THERAPY AND PERFORMANCE
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 646 OVERBRIDGE LN
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City | CHATTANOOGA
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State | TN
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Zip | 37405-3320
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Country | US
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Telephone | 423-212-3265
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Fax |
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Provider Business Mailing Address
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Address Line | 5813 AMBER VALLEY LN
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City | HIXSON
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State | TN
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Zip | 37343-2461
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | AIMEE JEANNETTE SHELTON
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Credential | PT
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Telephone | 803-609-5359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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