| Organization Name: | REGENERATION PHYSICAL THERAPY OF WEATHERFORD, PLLC |
| NPI Number: | 1104022540 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFF SCOTT MOSES (PHYSICAL THERAPIST) |
| Mailing Address: | 125 N Bradley St Weatherford |
| State: | OK US |
| Postal Code: | 730965229 |
| Phone Number: | 5807722662 |
| Fax Number: | 5807722241 |
| NPI Enumeration Date: | 06/22/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 2818 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |