| NPI | 1588194955 |
|---|---|
| Other Name | BENCHMARK PT - SOUTHPORT |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHANNESON VP Revenue Cycle 423-238-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |