Organization Name: | PROFESSIONAL THERAPY SERVICES OF TENNESSEE, LLC |
NPI Number: | 1972564771 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GARY PAUL REEVES (CO-OWNER) |
Mailing Address: | 8301b Dayton Pike Soddy Daisy |
State: | TN US |
Postal Code: | 373794202 |
Phone Number: | 4238431014 |
Fax Number: | 4238431016 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |