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Organization
PHYSIOLETE THERAPY AND PERFORMANCE LLC
Active
Organization
PHYSIOLETE THERAPY AND PERFORMANCE LLC
Active
Parent organization
PHYSIOLETE THERAPY AND PERFORMANCE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHYSIOLETE THERAPY AND PERFORMANCE LLC
Authorized official
LAUREN C BUCKALEW DPT (CO-OWNER)
(769) 208-3190
Entity
Organization
Contact information
Practice address
2625 COURTHOUSE CIR, FLOWOOD, MS 39232-9521
(769) 208-3190
(769) 208-3191
Mailing address
PO BOX 2862, TUSCALOOSA, AL 35403-2862
(205) 409-8060
(205) 737-8841
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/03/2026
Last updated
09/03/2026
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