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Organization

ESMPT, LLC

Active
Other names
Elite Sports Physical Therapy, ESMPT LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DENISE WISE PT (ADMINISTRATOR)
(254) 732-5981
Entity
Organization

Contact information

Practice address
7125 NEW SANGER AVE STE 502, WACO, TX 76712-4054
(254) 325-9817
(254) 754-2667
Mailing address
7125 NEW SANGER AVE STE 502, WACO, TX 76712-4054
(254) 732-5981
(254) 754-2667

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
408259601
TX
05
PENDING
TX
Enumeration date
12/11/2019
Last updated
02/25/2026
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