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
4/12/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
State Fee Schedule Multiplier
0.00
Exhibit ID
AM_459
Location Details
Address
512 Tremont St Ste A
Chattanooga, TN 37405
United States
County
Hamilton
Phone
4236689821 (Phone)
Billing Details
Address
6397 Lee Hwy
Suite 300
Chattanooga, TN 37421
Billing Phone
4236689821
Specialty Type
Physical Therapy
Map
Address