Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy Kennestone
Provider ID
P000008828
NPI
1518129774
Tax ID
270039366
Effective Date
6/19/2017
Last Updated
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
400 Tower Road NE Suite 140
Marietta, GA 30060
United States
County
Cobb
Phone
7704199437 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
7704199437
Specialty Type
Physical Therapy
Map
Address