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Contract Details
Facility name
P4 Physical Therapy
Provider ID
P000000001
NPI
1518582782
Tax ID
851405354
Effective Date
3/18/2021
Last Updated
11/23/2022
Direct Contract
Yes
Term Date
10/31/2022
Status
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_476
Exhibit Attachment
Location Details
Address
5201 Kingston Pike Suite 6
Knoxville, TN 37919
United States
Phone
865-770-5100
(
Phone
)
Fax
865-770-5101
Billing Details
Address
5201 Kingston Pike
Suite 6
Knoxville, TN 37919
Billing Phone
865-770-5100
Specialty Type
Physical Therapy
Website
Visit Website
Workers Comp Coordinator
Tracy
Causey
tracy.causey@p4physicaltherapy.com
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Address