| NPI | 1346619400 |
|---|---|
| Doing Business As | STACK SPORTS PERFORMANCE & TTHERAPY |
| Entity Type | Organization |
| Authorized Contact | NICOLE FOUNTAIN Owner 404-478-6587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2015-10-15 |