Name: Independent Physical Therapy
Address: 5205 Bobby Hicks Hwy Suite 6, Johnson City, 37615, United States
Telephone: 423-473-0480

Contract Details

BenchMark Physical Therapy

Facility name

Independent Physical Therapy

Provider ID

P000000001

NPI

1104878354

Tax ID

621754125

Effective Date

3/28/2022

Last Updated

3/24/2022

Direct Contract

Yes

Status

Active

Contract Discounts

Discount Type

Exhibit ID

AM_459

Location Details

Address

5205 Bobby Hicks Hwy Suite 6

Johnson City, TN 37615

United States

Phone

423-473-0480 (Phone)

Fax

Billing Details

Address

6397 Lee Hwy

Suite 300

Chattanooga, TN 37421

Billing Phone

Specialty Type

Physical Therapy

Map