Organization
ATLAS PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (VICE PRESIDENT)
(800) 699-9395
Entity
Organization
Contact information
Practice address
100 KIANA CT STE A, PADUCAH, KY 42001-6787
(270) 443-0681
(270) 442-7948
Mailing address
484 RIVERSIDE AVE, JACKSONVILLE, FL 32202-4912
(800) 699-9395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2019
Last updated
11/18/2023
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