CHAMPION PHYSICAL THERAPY LLC HALLS NPI 1528555992

NPI Information

NPI: 1528555992
Provider Name: CHAMPION PHYSICAL THERAPY LLC HALLS

Doing Business As: CORA PHYSICAL THERAPY - KINGSPORT

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1825 N EASTMAN RD STE 4A
KINGSPORT, TN
ZIP 37664
Phone: (423) 390-8948
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CHAMPION PHYSICAL THERAPY LLC HALLS is a rehabilitation clinic center in Kingsport, TN. CHAMPION PHYSICAL THERAPY LLC HALLS NPI is 1528555992. The provider is registered as an organization entity type.
The provider Is Doing Business As Cora Physical Therapy - Kingsport.

The provider's business location address is:

1825 N EASTMAN RD STE 4A
KINGSPORT, TN
ZIP 37664-372
Phone: (423) 390-8948
Fax: (423) 390-8949

The provider's authorized official is Brad C Roush .
The authorized official title is Executive Vice President and has the following contact phone number (419) 221-6712.

The enumeration date for this NPI number is 4/20/2018 and was last updated on 4/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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