| NPI | 1336759257 |
|---|---|
| Doing Business As | GODSPEED ELITE SPORTS ACADEMY |
| Entity Type | Organization |
| Authorized Contact | MICHELLE HAWTHORNE Credentialing And Billing Manager 205-292-2428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2021-12-15 |