Southwest Sports & Spine V, LLP
Physical Therapist in Dallas, TX. Organization (NPI-2).
NPI number1033106984
StatusActive
Last updated in NPPESApr 14, 2022
Details
- NPI
- 1033106984
- Entity type
- Organization (NPI-2)
- Legal business name
- Southwest Sports & Spine V, LLP
- Organization subpart
- No
- Enumeration date
- Oct 5, 2005
- Certification date
- Apr 14, 2022
- Last updated
- Apr 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 635850006 | TX | Yes |
Other names
- Vista Physical Therapy (Doing Business As)
Practice location
3535 Travis StSuite 160
Dallas, TX 75204-1448
Phone 214-346-9105 · Fax 214-346-9125
Mailing address
5100 W Eldorado Pkwy#102-20kt
McKinney, TX 75070-6510
Phone 214-346-9105 · Fax 214-346-9125
Authorized official
Craig Rettke
Partner
9725293691
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