| NPI | 1003280801 |
|---|---|
| Doing Business As | NEXT LEVEL PHYSICAL THERAPY PERFORMANCE AND FITNESS |
| Entity Type | Organization |
| Authorized Contact | KYLE JACKSON Principal/Owner 707-781-8062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 27666) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2016-02-08 |