Organization
TACTICAL ATHLETE PERFORMANCE & PHYSICAL THERAPY SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS DETRICK PT (OWNER)
(916) 717-9406
Entity
Organization
Contact information
Practice address
8800 SHORTLINE LN, ELK GROVE, CA 95624-9470
(916) 717-9406
Mailing address
8800 SHORTLINE LN, ELK GROVE, CA 95624-9470
(916) 717-9406
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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