Provider Demographics
NPI:1427270271
Name:VOLUNTEER PHYSICAL THERAPY
Entity type:Organization
Organization Name:VOLUNTEER PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:865-458-4199
Mailing Address - Street 1:15000 HIGHWAY 72 N
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:TN
Mailing Address - Zip Code:37774-5452
Mailing Address - Country:US
Mailing Address - Phone:865-458-4199
Mailing Address - Fax:865-458-3199
Practice Address - Street 1:15000 HIGHWAY 72 N
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:TN
Practice Address - Zip Code:37774-5452
Practice Address - Country:US
Practice Address - Phone:865-458-4199
Practice Address - Fax:865-458-3199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000002870225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty