Fast Pace Medical Clinic PLLC
Physical Therapist in Smithville, TN. Organization (NPI-2).
NPI number1073014643
StatusActive
Last updated in NPPESApr 22, 2021
Details
- NPI
- 1073014643
- Entity type
- Organization (NPI-2)
- Legal business name
- Fast Pace Medical Clinic PLLC
- Organization subpart
- No
- Enumeration date
- Feb 28, 2018
- Certification date
- Apr 22, 2021
- Last updated
- Apr 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
101 W Broad StSmithville, TN 37166-1915
Phone 855-632-3278 · Fax 931-722-9919
Mailing address
Po Box 1258Waynesboro, TN 38485-1258
Phone 931-253-1110 · Fax 931-722-9919
Authorized official
Robert Benson
Coo
9312531110
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