Organization
ELITE PHYSICAL THERAPY AND SPORTS PERFORMANCE
Active
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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