NPI | 1003454893 |
---|---|
Former Legal Business Name | FIRST FIT SPORTS PERFORMANCE |
Entity Type | Organization |
Authorized Contact | JULIE ANNE LUEKING Owner/Physical Therapist 505-231-2290 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2019-12-12 |
Last Update Date | 2021-06-29 |