| NPI | 1518418409 |
|---|---|
| Doing Business As | BENCHMARK PT |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHANNESON VP Provider Enrollment 423-238-8923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235500000X Specialist/Technologist | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2018-11-14 |