| Independent Physical Therapy, LLC | |
|
11172 Highway 142 N Covington GA 30014-2547 | |
| (678) 712-3692 | |
| (678) 712-3693 |
| Full Name | Independent Physical Therapy, LLC |
|---|---|
| Speciality | Clinic/center - Physical Therapy |
| Location | 11172 Highway 142 N, Covington, Georgia |
| Authorized Official Name and Position | Kevin Johanneson (VP REVENUE CYCLE) |
| Authorized Official Contact | 4232382313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Independent Physical Therapy, LLC 6397 Lee Hwy Ste 300 Chattanooga TN 37421-2564 Ph: (423) 238-7217 | Independent Physical Therapy, LLC 11172 Highway 142 N Covington GA 30014-2547 Ph: (678) 712-3692 |
| NPI Number | 1962743674 |
|---|---|
| Provider Enumeration Date | 03/05/2013 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962743674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | () | Primary |
| 261QX0100X | Clinic/center - Occupational Medicine | () | Secondary |
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