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Organization

KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB, PLLC

Active
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Organization

KINEMATIC CONCEPTS PHYSICAL THERAPY & SPORTS REHAB, PLLC

Active
Other names
Momentum Physical Therapy & Sports Rehab, PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHAD ALLEN ELMS MPT, OCS, FAAOMPT (CEO)
(210) 372-9600
Entity
Organization

Contact information

Practice address
12952 BANDERA RD, SUITE 107, HELOTES, TX 78023-4689
(210) 372-9600
(210) 372-9923
Mailing address
12952 BANDERA RD, SUITE 107, HELOTES, TX 78023-4689
(210) 372-9600
(210) 372-9923

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
647890002
TX
225X00000X
Occupational Therapist
562580001
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084HN
BLUE CROSS BLUE SHIELD
TX
05
—
1543670-01
—
TX
01
—
DA8491
RAILROAD MEDICARE
TX
Enumeration date
03/06/2007
Last updated
01/02/2013
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