| Independent Physical Therapy | |
| 2946 Winfield Dunn Pkwy Ste 106 Kodak TN 37764-4318 | |
| (865) 932-1088 | |
| (865) 932-1454 | 
| Full Name | Independent Physical Therapy | 
|---|---|
| Speciality | Clinic/center - Physical Therapy | 
| Location | 2946 Winfield Dunn Pkwy Ste 106, Kodak, Tennessee | 
| Authorized Official Name and Position | Lisa Benetto (CREDENTIALING MANAGER) | 
| Authorized Official Contact | 4232388923 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Independent Physical Therapy 8823 Production Ln Ooltewah TN 37363-6511 Ph: (423) 238-7217 | Independent Physical Therapy 2946 Winfield Dunn Pkwy Ste 106 Kodak TN 37764-4318 Ph: (865) 932-1088 | 
| NPI Number | 1275933384 | 
|---|---|
| Provider Enumeration Date | 08/26/2014 | 
| Last Update Date | 08/26/2014 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1275933384 | NPI | - | NPPES | 
| Fast Pace Medical Clinic Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2960 Winfield Dunn Pkwy, Kodak, TN 37764 Phone: 865-213-7104 Fax: 865-213-7105 |