| NPI | 1700315819 |
|---|---|
| Doing Business As | BENCHMARK PT - PROSPERITY VILLAGE |
| 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 | 2017-06-12 |
| Last Update Date | 2017-09-01 |