Organization
ELITE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BOYER MPT (OWNER)
(419) 906-1088
Entity
Organization
Contact information
Practice address
3816 COUNTY ROAD C, DESHLER, OH 43516-9758
(419) 906-1088
Mailing address
3816 COUNTY ROAD C, DESHLER, OH 43516-9758
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2013
Last updated
02/03/2013
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