# PHYSIOWORKS, SPORTS AND WELLNESS, INC

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

## Provider details

- **NPI number:** 1932575057
- **Authorized official:** MR. ANDREW WALKER (PRESIDENT)
- **Authorized official phone:** (256) 529-7395

## Contact information

- **Practice address:** 2743 BOB WALLACE AVE SW, HUNTSVILLE, AL 35805-4103
- **Practice address phone:** (256) 529-7395
- **Mailing address:** PO BOX 814, MADISON, AL 35758-0814
- **Mailing address phone:** (256) 424-5192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | PTH5627 | AL | Yes |

## Other

- **Enumeration date:** 08/12/2015
- **Last updated:** 08/12/2015