| NPI | 1003504317 |
|---|---|
| Doing Business As | SIDEOUT SPORTS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | BOBBY LEE MOORE Physical Therapist 580-364-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-04-25 |
| Last Update Date | 2025-10-09 |