Organization Name: | ATHELITE PHYSICAL PERFORMANCE CENTER OF LAKE NORMAN, LLC |
NPI Number: | 1669772802 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN J BOYLE (CEO) |
Mailing Address: | 2809 Amity Hill Rd Statesville |
State: | NC US |
Postal Code: | 286779744 |
Phone Number: | 7047681013 |
Fax Number: | 7042640711 |
NPI Enumeration Date: | 10/21/2010 |
NPI Last Update Date: | 01/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |