360 PT Wellness Physical Therapy
Organization Active NPI Physical Therapist · Clarksville, TN
NPI 1194135699 · NPPES record last updated May 6, 2014
Key facts
- NPI
- 1194135699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- License
- 9740 (TN)
- Legal business name
- 360 PT WELLNESS PHYSICAL THERAPY
- Practice address
- 2233 Stokes Rd
Suite a
Clarksville, TN 37043-1818 - Phone
- (931) 648-2224
- NPI assigned
- May 6, 2014
- Organization subpart
- No
Authorized official
- Name
- Jalpa V Domadia
- Title
- Office Manager
- Phone
- (931) 494-4991
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | 9740 | TN | Yes |
Addresses
Primary practice location
2233 Stokes Rd
Suite a
Clarksville, TN 37043-1818
Mailing address
2233 Stokes Rd
Suite a
Clarksville, TN 37043-1818
Phone (931) 648-2224
Other providers in Clarksville, TN
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- A Flowers Counseling, PLLC
- A Step Ahead Orthotics and Prosthetics Inc
- A Step Ahead, LLC
- A.I.R.
All providers in Clarksville, TN · Physical Therapist in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.