| NPI | 1003674409 |
|---|---|
| Doing Business As | REACTIVATE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TRENT TACKETT Owner/Physical Therapist 606-207-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |