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Organization

LONESTAR PHYSICAL THERAPY & SPORTS PERFORMANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEPHEN SWYGERT FORD PT, DPT, OCS, CSCS (CHIEF EXECUTIVE OFFICER)
(903) 274-9977
Entity
Organization

Contact information

Practice address
5759 EAGLES NEST BLVD STE 4, TYLER, TX 75703-6231
(903) 405-4899
(903) 638-2741
Mailing address
5759 EAGLES NEST BLVD STE 4, TYLER, TX 75703-6231
(903) 405-4899
(903) 638-2741

Taxonomy

Speciality
Code
Description
License number
State
2251E1200X
Ergonomics Physical Therapist
2251S0007X
Sports Physical Therapist
2251X0800X
Orthopedic Physical Therapist
Primary
225200000X
Physical Therapy Assistant

Other

Enumeration date
06/21/2022
Last updated
10/30/2023
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