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Organization
LEGACY PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization
LEGACY PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLEY LEE HALE PT,DPT (OWNER)
(254) 855-3156
Entity
Organization
Contact information
Practice address
351 N BYRON NELSON BLVD, SUITE 110, ROANOKE, TX 76262
(254) 855-3156
Mailing address
351 W BYRON NELSON BLVD STE 110, ROANOKE, TX 76262-3514
(817) 756-5366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
07/16/2021
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