Organization Name: | NEUROMUSCULAR THERAPY CENTER INC |
NPI Number: | 1396894770 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUSTIN WILLIS (OWNER/VP) |
Mailing Address: | 7222 S Tamiami Trl Ste 105 Sarasota |
State: | FL US |
Postal Code: | 342315569 |
Phone Number: | 9413126142 |
Fax Number: | 9419931520 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 03/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |