Organization
IMPACT PHYSICAL THERAPY, PLLC
Active
Other names
Impact Physical Therapy and Athletic Performance
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WESLEY LAWLESS DPT, CSCS (OWNER)
(601) 502-3765
Entity
Organization
Contact information
Practice address
843 FAIRVIEW AVE STE B5, BOWLING GREEN, KY 42101-4975
(601) 502-3765
Mailing address
1135 ANGELICA ST, BOWLING GREEN, KY 42104-5594
(601) 502-3765
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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