Organization
EXCEL SPORTS PERFORMANCE AND REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW RICKS PT, DPT (OWNER)
(404) 824-0697
Entity
Organization
Contact information
Practice address
1828 E UNIVERSITY DR STE 1, TEMPE, AZ 85281-4275
(404) 824-0697
Mailing address
1114 W 10TH ST, MESA, AZ 85201-3928
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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