904 THERAPY LLC ⚕️ Florida 1467193102

NPI	1467193102
Entity Type	Organization
Authorized Contact	JORDAN C BLCAK President 423-258-2264
Organization Subpart ?	No
Primary Taxonomy	261QP2000X Clinic/Center, Physical Therapy
Enumeration Date	2022-04-06
Last Update Date	2022-04-06

904 THERAPY LLC

900 W MAIN ST

ROGERSVILLE, TN 37857-2448

Phone number: 423-500-5600

904 THERAPY LLC

2800 N 6TH ST UNIT 1

SAINT AUGUSTINE, FL 32084-1886

Phone number: 423-317-7772