| NPI | 1306615604 |
|---|---|
| Doing Business As | EXECUTIVE PT |
| Entity Type | Organization |
| Authorized Contact | DUSTIN HOWARD President 615-815-9953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2023-12-27 |