Provider Demographics
NPI:1134954738
Name:TRIUMPHANT PHYSICAL THERAPY
Entity type:Organization
Organization Name:TRIUMPHANT PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:ABERNETHY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:423-405-7873
Mailing Address - Street 1:115 ROCKY MOUNT RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TN
Mailing Address - Zip Code:37303-7909
Mailing Address - Country:US
Mailing Address - Phone:423-405-7873
Mailing Address - Fax:
Practice Address - Street 1:115 ROCKY MOUNT RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TN
Practice Address - Zip Code:37303-7909
Practice Address - Country:US
Practice Address - Phone:423-405-7873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy