| Benton County Physical Therapy | |
|
543 Highway 79, Dover, TN 37058-5966 | |
| (931) 232-0057 | |
| (931) 232-0067 |
| Full Name | Benton County Physical Therapy |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 543 Highway 79, Dover, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114905643 | NPI | - | NPPES |
| 3106297 | Other | TN | BLUE CROSS BLUE SHIELD |
| 044-6602 | Medicaid | TN | |
| 0446602 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT0000002294 (Tennessee) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | PT2294 (Tennessee) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Benton County Physical Therapy P.o. Box 465, Paris, TN 38242 Ph: (931) 232-0057 | Benton County Physical Therapy 543 Highway 79, Dover, TN 37058-5966 Ph: (931) 232-0057 |
Mr. Joselito A Pasaol, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 402 C Church Street, Dover, TN 37058 Phone: 931-232-4555 | |
Leah Mitchell, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 Spring St, Dover, TN 37058 Phone: 931-232-6902 | |
William Kyle Cochrane, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 537 Spring St, Dover, TN 37058 Phone: 931-232-6905 | |
Stewart County Board Of Education Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1031 Spring St, Dover, TN 37058 Phone: 423-622-1551 |