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Organization
NEXT LEVEL PHYSICAL THERAPY INC.
Active
Organization
NEXT LEVEL PHYSICAL THERAPY INC.
Active
Other names
Next Level Physical Therapy Performance and Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE JACKSON PT (PRINCIPAL/OWNER)
(707) 781-8062
Entity
Organization
Contact information
Practice address
719 SOUTHPOINT BLVD, SUITE A, PETALUMA, CA 94954-1495
(707) 781-8062
(707) 981-8684
Mailing address
719 SOUTHPOINT BLVD, SUITE A, PETALUMA, CA 94954-1495
(707) 781-8062
(707) 981-8684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27666
CA
Other
Enumeration date
11/17/2015
Last updated
02/08/2016
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