Organization
HUMBLE AND HUNGRY PERFORMANCE TRAINING LLC
Active
Other names
Stack Sports Performance & tTherapy
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE FOUNTAIN (OWNER)
(404) 478-6587
Entity
Organization
Contact information
Practice address
1253 BLAIRWOOD CT, ATLANTA, GA 30331-7490
(404) 478-6587
Mailing address
1232 COLLIER RD NW, ATLANTA, GA 30318-2302
(404) 478-6587
(404) 806-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/18/2015
Last updated
10/15/2015
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