904 Therapy Llc

LBN: 904 Therapy Llc
904 Therapy Llc is an health care organization with primary practice located at 900 W Main St , Rogersville TN 37857-2448. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. 904 Therapy Llc can be contacted via phone (423) 500-5600, or through Blcak, Jordan C via phone (423) 258-2264.

Contact Information

Primary practice address
900 W Main St Rogersville TN 37857-2448
Phone: (423) 500-5600
Fax: (423) 373-1351
Website:
Map and Directions
Authorized official contact:
Name: Blcak, Jordan C
Phone: (423) 258-2264

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1467193102
LBN Legal business name 904 Therapy Llc
DBA Doing business as
Authorized official Blcak, Jordan C
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2022
Last updated Apr 6th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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