Organization
ELITE PHYSICAL THERAPY AND SPORTS PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MICHAEL HEILER MSPT (OWNER/MEMBER MANAGER)
(231) 590-1364
Entity
Organization
Contact information
Practice address
4177 VILLAGE PARK DR, SUITE B, TRAVERSE CITY, MI 49685-7237
(231) 590-1364
Mailing address
4177 VILLAGE PARK DR, SUITE B, TRAVERSE CITY, MI 49685-7237
(231) 590-1364
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
5501009481
MI
Other
Enumeration date
06/17/2011
Last updated
09/14/2011
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