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Organization
SHAKE REHABILITATION SERVICES LLC
Active
Organization
SHAKE REHABILITATION SERVICES LLC
Active
Other names
Abound Performance Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
BENNETT SHAKE (OWNER AND PHYSICAL THERAPIST)
(214) 232-2289
Entity
Organization
Contact information
Practice address
4224 N NEVADA AVE STE 200, COLORADO SPRINGS, CO 80907-4368
(719) 900-1817
Mailing address
4082 WARTHOG HTS, COLORADO SPRINGS, CO 80916-3402
(214) 232-2289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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