Organization
ELITE SPINE AND SPORTS PHYSICAL THERAPY
Active
Organization
ELITE SPINE AND SPORTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN DIGWOOD PT (OWNER)
(570) 991-2082
Entity
Organization
Contact information
Practice address
182 BUTLER STREET, WILKES BARRE, PA 18702
(570) 970-0402
(570) 970-0403
Mailing address
182 BUTLER STREET, WILKES BARRE, PA 18702
(570) 970-0402
(570) 970-0403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
PA
261QP2000X
Physical Therapy Clinic/Center
PT011055L
PA
Other
Enumeration date
02/05/2013
Last updated
06/06/2018
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