CLINTON PHYSICAL THERAPY CENTER; NPI #1669670030

Contact Information

CLINTON PHYSICAL THERAPY CENTER

1921 N CHARLES G SEIVERS BLVD
CLINTON, TN 37716-6747

Phone: 865-457-1649
Fax: 865-463-7825
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Hand	225XH1200X	67	Occupational Therapist in Private Practice

Indicates primary specialty

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NPI Profile & details for CLINTON PHYSICAL THERAPY CENTER

NPI Number 1669670030

LBN Legal business name CLINTON PHYSICAL THERAPY CENTER

Authorized official JOYCE KLEE - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/06/2007

Last updated 07/13/2007 - About 19 years ago

Identifiers

TN	License #	OT0156
TN	Medicaid	3655180

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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CLINTON PHYSICAL THERAPY CENTER

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NPI Profile & details for CLINTON PHYSICAL THERAPY CENTER

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