Independent Physical Therapy Llc in Ooltewah - Speech-language Pathologist
Independent Physical Therapy Llc - NPI 1174790125
Independent Physical Therapy Llc is a Speech-language Pathologist in Ooltewah, Tennessee. Independent Physical Therapy Llc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Independent Physical Therapy Llc is 1174790125. The last update date is 2019-11-14.
Independent Physical Therapy Llc's current location address is 9222 Lee Hwy Ste C, Ooltewah, Tennessee. You can contact this provider via phone number 4232389444 and fax number 4232389499. The mailing address for Independent Physical Therapy Llc is 9222 Lee Hwy Ste C, Ooltewah, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Independent Physical Therapy Llc |
|---|---|
| Address | 9222 Lee Hwy Ste C, Ooltewah, Tennessee |
| Phone Number | 4232389444 |
| Fax Number | 4232389499 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP REVENUE |
|---|---|
| Authorized Official Name | Johanneson Kevin |
| Telephone Number | 4232387217 |
NPI Number Detail
| NPI Number | 1174790125 |
|---|---|
| Provider Enumeration Date | 2008-05-09 |
| Last Updated Date | 2019-11-14 |
Provider Mailing Address Detail
| Address | 9222 Lee Hwy Ste C |
|---|---|
| City | Ooltewah |
| State | Tennessee (TN) |
| Post Code | 373638872 |
| Phone Number | 4232389444 |
| Fax Number | 4232389499 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe |
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What is the Independent Physical Therapy Llc's unique identification number?
The Independent Physical Therapy Llc has been assigned the NPI (National Provider Identifier) Number 1174790125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Independent Physical Therapy Llc located?
The Independent Physical Therapy Llc is located at 9222 Lee Hwy Ste C, Ooltewah, TN 373638872.
What is Independent Physical Therapy Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Independent Physical Therapy Llc's specialized field of practice is Speech-language Pathologist, and the corresponding taxonomy code that categorizes this area of specialization is 235Z00000X.
On what date was the 1174790125 assigned to Independent Physical Therapy Llc?
The Independent Physical Therapy Llc was issued its 1174790125 on 2008-05-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Independent Physical Therapy Llc's information last updated?
The Independent Physical Therapy Llc's information was last updated on 2019-11-14.