Organization
ADVANCED NEUROMUSCULAR PERFORMANCE & PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERELY NICOLE HOLLOWAY DPT (PHYSICAL THERAPIST, OWNER/CEO)
(770) 875-4985
Entity
Organization
Contact information
Practice address
1211 S MAIN ST STE 500, KELLER, TX 76248-0822
(770) 875-4985
Mailing address
1211 S MAIN ST STE 500, KELLER, TX 76248-0822
(770) 875-4985
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1261798
TX
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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