| NPI | 1043672678 |
|---|---|
| Doing Business As | BENCHMARK PT - SHALLOWFORD |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHANESON VP Revenue Cycle 423-238-3220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2016-03-23 |