Organization
EDGE PHYSICAL THERAPY AND WELLNESS LLC
Active
Other names
EDGE Osteopractic Physical Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAUS HANSEN DPT (OWNER)
(502) 500-4587
Entity
Organization
Contact information
Practice address
1151 COMMERCE PARKWAY, SUITE E, ASHLAND, OH 44805
(502) 500-4587
Mailing address
530 CLAREMONT AVE UNIT 914, ASHLAND, OH 44805-0028
(502) 500-4587
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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