| NPI | 1386535821 |
|---|---|
| Former Legal Business Name | AGELESS ATHLETE PLLC |
| Entity Type | Organization |
| Authorized Contact | ADAM CHRISTOPHER HUYNH Owner 518-461-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-07-12 |
| Last Update Date | 2025-07-12 |