| Organization Name: | INDEPENDENT PHYSICAL THERAPY |
| NPI Number: | 1013184720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TROY BAGE (PRESIDENT) |
| Mailing Address: | 4833 Highway 58 Chattanooga |
| State: | TN US |
| Postal Code: | 374161826 |
| Phone Number: | 4235537972 |
| Fax Number: | 4235537973 |
| NPI Enumeration Date: | 05/12/2008 |
| NPI Last Update Date: | 06/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |