| NPI | 1538721907 |
|---|---|
| Doing Business As | REVOLUTION PERFORMANCE PHYSICAL THERAPY |
| Former Legal Business Name | REVOLUTION SPORTS PHYSICAL THERAPY AND PERFORMANCE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID BLEVINS CEO/Owner 813-838-2510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251S0007X Physical Therapist, Sports |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225200000X Physical Therapy Assistant | |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2021-06-14 |