# LEV3L PERFORMANCE PHYSICAL THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEV3L PERFORMANCE PT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194443051
- **Authorized official:** LAURA WHITELEY DPT (OWNER)
- **Authorized official phone:** (918) 520-7151

## Contact information

- **Practice address:** 301 12TH ST SE, WATFORD CITY, ND 58854-6722
- **Practice address phone:** (918) 520-7151
- **Mailing address:** PO BOX 2334, WATFORD CITY, ND 58854-2334
- **Mailing address phone:** (918) 520-7151

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2022
- **Last updated:** 01/06/2023