Contract Details
BenchMark Physical Therapy
Facility name
BenchMark Physical Therapy
Provider ID
P000008902
NPI
1104878354
Tax ID
621754125
Effective Date
6/27/2017
Last Updated
11/9/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
State Fee Schedule Multiplier
0.00
Exhibit ID
AM_459
Location Details
Address
15331 Rankin Avenue Suite B
Dunlap, TN 37327
United States
County
Sequatchie
Phone
4239492793 (Phone)
Billing Details
Address
15331 Rankin Avenue
Suite B
Dunlap, TN 37327
Billing Phone
4239492793
Specialty Type
Physical Therapy
Map
Address