| NPI | 1750969531 |
|---|---|
| Former Legal Business Name | PUCKETT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | TIM PUCKETT Owner 210-387-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-03-31 |