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NPI Code Detail

MEDICARE: PHYSIOTHERAPY ASSOCIATES

MEDICARE: PHYSIOTHERAPY ASSOCIATES
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/Center3010TN

General Provider Information

NPI Number : 1922409614
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSIOTHERAPY ASSOCIATES
Provider Business Mailing Address
First Line : 1018 HIGHWAY 321 N
Second Line :
City : LENOIR CITY
State : TN
Zip : 37771-6683
Country : US
Telephone Number : 865-986-5644
Fax Number : 865-986-9109
Provider Business Practice Location Address
First Line : 1018 HIGHWAY 321 N
Second Line :
City : LENOIR CITY
State : TN
Zip : 37771-6683
Country : US
Telephone Number : 865-986-5644
Fax Number : 865-986-9109
Authorized Official
Title or Position : MULTI-SITE MANAGER
Name : DR. SAMUEL S FROGG II
Credential :
Telephone Number : 865-986-5644
Provider Enumeration Date : 09/12/2014
Last Update Date : 09/12/2014

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Directions to “PHYSIOTHERAPY ASSOCIATES ” Practice Location

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