Organization · NPI-2

Action Potential - Sports And Neurological Rehab, PLLC

Clinic/Center · Austin, TX

NPI number1114531167
StatusActive
Last updated in NPPESMar 12, 2024

Details

NPI
1114531167
Entity type
Organization (NPI-2)
Legal business name
Action Potential - Sports And Neurological Rehab, PLLC
Organization subpart
No
Enumeration date
Sep 6, 2020
Certification date
Mar 12, 2024
Last updated
Mar 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

5611 Mapleleaf Dr Unit A
Austin, TX 78723-2626

Phone 253-241-7803

Mailing address

5611 Mapleleaf Dr Unit A
Austin, TX 78723-2626

Phone 253-241-7803

Authorized official

Chase Davidson
Co-Founder
2532417803

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