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Organization
WILDCAT LLC
Active
Organization
WILDCAT LLC
Active
Other names
STAR Physical Therapy dba Wildcat sports medicine
Organization subpart
No
Provider details
NPI number
Authorized official
REGG SWANSON (PARTNER)
(615) 591-6590
Entity
Organization
Contact information
Practice address
111 MAIN ST, WAYNE, NE 68787-1923
(402) 375-7310
(402) 375-7572
Mailing address
PO BOX 681478, FRANKLIN, TN 37068-1478
(615) 591-6590
(615) 591-6601
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
—
NULL
2251S0007X
Sports Physical Therapist
Primary
—
—
Other
Enumeration date
12/26/2006
Last updated
08/22/2020
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