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Organization
SOUTHWEST SPORTS & SPINE V, LLP
Active
Organization
SOUTHWEST SPORTS & SPINE V, LLP
Active
Other names
Vista Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG RETTKE (PARTNER)
(972) 529-3691
Entity
Organization
Contact information
Practice address
3535 TRAVIS ST, SUITE 160, DALLAS, TX 75204-1448
(214) 346-9105
(214) 346-9125
Mailing address
5100 W ELDORADO PKWY, #102-20KT, MCKINNEY, TX 75070-6510
(214) 346-9105
(214) 346-9125
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
635850006
TX
Other
Enumeration date
10/05/2005
Last updated
04/14/2022
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