| NPI | 1265205272 |
|---|---|
| Doing Business As | BUILT 4 IT SOUTHLAKE |
| Entity Type | Organization |
| Authorized Contact | KECIA MCKENZIE Owner/Provider 464-919-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |