Mietus Pt, LLC
Clinic/Center, Physical Therapy in Irving, TX. Organization (NPI-2).
NPI number1497924344
StatusActive
Last updated in NPPESApr 3, 2008
Details
- NPI
- 1497924344
- Entity type
- Organization (NPI-2)
- Legal business name
- Mietus Pt, LLC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2008
- Last updated
- Apr 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | 662410000 | TX | Yes |
Other names
- Mietus Physical Therapy (Doing Business As)
Practice location
4301 N Macarthur BlvdSuite 204
Irving, TX 75038-6416
Phone 972-256-3320 · Fax 972-256-1299
Mailing address
4301 N Macarthur BlvdSuite 204
Irving, TX 75038-6416
Phone 972-256-3320 · Fax 972-256-1299
Authorized official
Joel M Mietus
Owner
9722563320
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