101 Physical Therapy, Inc

NPI 1023042405 - Clinic/Center - 261QP2000X

NPI Details
NPI 1023042405
Enumeration Date 07/10/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name RUSSELL L. RUSSELL
Position PRESIDENT
Phone (423) 238-1301
Fax (423) 238-1302
Practice Location
5704 OOLTEWAH RINGGOLD RD
OOLTEWAH TN, 37363-8713, US
Phone (423) 238-1301
Fax (423) 238-1302
Business Location
5704 OOLTEWAH RINGGOLD RD
OOLTEWAH TN, 37363-8713, US
Phone (423) 238-1301
Fax (423) 238-1302
Toxanomy
Taxonomy Code 261QP2000X
License State Tennessee
License Number 6211
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According to our database, 101 Physical Therapy, Inc NPI is 1023042405, taxonomy code is 261QP2000X and license number is 6211, license state is located at Tennessee. 101 Physical Therapy, Inc physically located at 5704 Ooltewah Ringgold Rd, Ooltewah TN, 37363-8713. NPI Number 1033115704 has the healthcare provider type.

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1023042405 NPI number is provided on an as is basis without warranty of any kind. 1023042405 is maintained by the National Plan & Provider Enumeration System. The contents of 101 Physical Therapy, Inc are for informational purposes only.