| Organization Name: | FUSION FITNESS & PHYSICAL THERAPY CENTER, LLC |
| NPI Number: | 1528064193 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY F MCBRIDE (PRESIDENT/GENERAL MANAGER) |
| Mailing Address: | 701 Cherokee Blvd Suite 281 Chattanooga |
| State: | TN US |
| Postal Code: | 374053339 |
| Phone Number: | 4232679146 |
| Fax Number: | 4232679081 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 11/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |