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NPI Code Detail

MEDICARE: AGILITAS USA, INC

MEDICARE: AGILITAS USA, INC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1447988043
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGILITAS USA, INC
Provider Business Mailing Address
First Line : PO BOX 306393
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6393
Country : US
Telephone Number : 423-238-7217
Fax Number : 423-238-3473
Provider Business Practice Location Address
First Line : 8905 TOWN AND COUNTRY CIR STE 9
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-4931
Country : US
Telephone Number : 865-539-9185
Fax Number : 865-694-3142
Authorized Official
Title or Position : CFO
Name : THOMAS BRYAN BARGANIER
Credential :
Telephone Number : 205-536-7602
Provider Enumeration Date : 08/11/2022
Last Update Date : 08/11/2022

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