Organization · NPI-2

Athletic Spine Rehabilitation, LLC

Physical Therapist · Marietta, GA

NPI number1740355304
StatusActive
Last updated in NPPESMar 17, 2018

Details

NPI
1740355304
Entity type
Organization (NPI-2)
Legal business name
Athletic Spine Rehabilitation, LLC
Organization subpart
No
Enumeration date
Nov 21, 2006
Last updated
Mar 17, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
2251S0007X Physical Therapist, Sports––
2251X0800X Physical Therapist, Orthopedic––
225200000X Physical Therapy Assistant––

Other names

  • Fyzical Therapy & Balance Centers (Doing Business As)

Practice location

880 Canton Rd Ne Ste 100
Marietta, GA 30060-7283

Phone 770-792-7522 · Fax 770-792-7508

Mailing address

880 Canton Rd Ne Ste 100
Marietta, GA 30060-7283

Phone 770-792-7522 · Fax 770-792-7508

Other practice locations

32 Irby Ave Nw
Atlanta, GA 30305-1808

Phone 770-792-7522 · Fax 770-792-7508

Authorized official

Herbert L Silver
Owner
7707927522

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