# GATE CITY SPORTS MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801665724
- **Authorized official:** DR. KEITH LEVESQUE PT, DPT, OCS (OWNER)
- **Authorized official phone:** (603) 417-5087

## Contact information

- **Practice address:** 436 AMHERST ST STE 102, NASHUA, NH 03063-1276
- **Practice address phone:** (603) 417-5087
- **Practice address fax:** (603) 417-5089
- **Mailing address:** 436 AMHERST ST STE 102, NASHUA, NH 03063-1276

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2023
- **Last updated:** 02/21/2024