Resurgence Performance And Rehabilitation
Physical Therapist, Sports in McKinney, TX. Organization (NPI-2).
NPI number1619706215
StatusActive
Last updated in NPPESJul 31, 2024
Details
- NPI
- 1619706215
- Entity type
- Organization (NPI-2)
- Legal business name
- Resurgence Performance And Rehabilitation
- Organization subpart
- No
- Enumeration date
- Jul 31, 2024
- Certification date
- Jul 31, 2024
- Last updated
- Jul 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2251S0007X | Physical Therapist, Sports | – | – | Yes |
| 2251X0800X | Physical Therapist, Orthopedic | – | – |
Practice location
3008 Coyote WayMcKinney, TX 75071-2088
Phone 251-605-7915
Mailing address
3008 Coyote WayMcKinney, TX 75071-2088
Phone 251-605-7915
Authorized official
Justin Marquise Morrissette
Owner/Physical Therapist
2516057915
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