Provider Demographics
NPI:1275206336
Name:JOURNEY PHYSICAL THERAPY & BALANCE CENTER
Entity Type:Organization
Organization Name:JOURNEY PHYSICAL THERAPY & BALANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MULHOLLEN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:423-609-7997
Mailing Address - Street 1:2000 MONARCH POINTE
Mailing Address - Street 2:
Mailing Address - City:GREENEVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37745
Mailing Address - Country:US
Mailing Address - Phone:423-609-7997
Mailing Address - Fax:423-609-7033
Practice Address - Street 1:2000 MONARCH POINTE
Practice Address - Street 2:
Practice Address - City:GREENEVILLE
Practice Address - State:TN
Practice Address - Zip Code:37745-3774
Practice Address - Country:US
Practice Address - Phone:423-218-2656
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty