# ADVANCE PHYSICAL THERAPY & SPORTS MEDICINE LLC

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

## Provider details

- **NPI number:** 1972513968
- **Authorized official:** GREGORY REIS (PARTNER)
- **Authorized official phone:** (217) 222-6800

## Contact information

- **Practice address:** 3032 BROADWAY ST, QUINCY, IL 62301-3708
- **Practice address phone:** (217) 222-6800
- **Practice address fax:** (217) 222-0037
- **Mailing address:** 3032 BROADWAY ST, QUINCY, IL 62301-3708
- **Mailing address phone:** (217) 222-6800
- **Mailing address fax:** (217) 222-0037

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 10/23/2007