Organization
SPORT & SPINE CLINIC OF NEKOOSA LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA P. KING JD (VP,AUTHORIZED OFFICIAL)
(713) 297-7000
Entity
Organization
Contact information
Practice address
416 MARKET ST, NEKOOSA, WI 54457-1126
(715) 886-3150
(715) 886-3220
Mailing address
1300 W SAM HOUSTON PKWY S, SUITE 300, HOUSTON, TX 77042-2447
(713) 297-7000
(713) 297-7090
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
08/22/2020
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