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Organization
LAKEWAY SPORTS PHYSICAL THERAPY
Active
Organization
LAKEWAY SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAIN RUSSELL MACGREGOR PT (OWNER)
(512) 840-0444
Entity
Organization
Contact information
Practice address
106 TELLUS ST, LAKEWAY, TX 78734-3829
(512) 618-0737
Mailing address
106 TELLUS ST, LAKEWAY, TX 78734-3829
(512) 618-0737
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1212185
TX
261QP2000X
Physical Therapy Clinic/Center
1212185
TX
Other
Enumeration date
07/25/2017
Last updated
08/30/2023
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