Organization Name: | PINNACLE PERFORMANCE PHYSICAL THERAPY LLC |
NPI Number: | 1316338213 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEATHER MALYNNE SMITH (OWNER / PHYSICAL THERAPIST) |
Mailing Address: | 362 Catalpa Ave Harrogate |
State: | TN US |
Postal Code: | 377528149 |
Phone Number: | 4238699923 |
Fax Number: | 4238699925 |
NPI Enumeration Date: | 02/12/2015 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 6888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |