Organization Name: | ELITE THERAPY SERVICES, LLC |
NPI Number: | 1164770434 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YOLANDA WASHINGTON (OWNER) |
Mailing Address: | 125 Commerce Dr Ste G Fayetteville |
State: | GA US |
Postal Code: | 302147336 |
Phone Number: | 6785452530 |
Fax Number: | 6785452531 |
NPI Enumeration Date: | 08/16/2012 |
NPI Last Update Date: | 02/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT007563 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |