| Organization Name: | NEUROSPORT PHYSICAL THERAPY@ELLARD LLC. |
| NPI Number: | 1295909596 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MORIAH MORGAN (REGIONAL OFFICE MANAGER) |
| Mailing Address: | 8400 Holcomb Bridge Rd Suite 480 Alpharetta |
| State: | GA US |
| Postal Code: | 300221837 |
| Phone Number: | 7706405470 |
| Fax Number: | 7706405471 |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 09/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 003709 |
| 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 |