| NPI | 1528606357 |
|---|---|
| Doing Business As | ELITE SPORTS PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | JEFF WISE Administrator 254-754-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2020-09-24 |