Organization
RIDER ATHLETIC ADVANTAGE
Active
Other names
Athletic Advantage
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RIDER D.C. (OWNER)
(214) 383-2614
Entity
Organization
Contact information
Practice address
820 S ALMA DR, SUITE 110, ALLEN, TX 75013-3808
(214) 383-0623
(214) 383-9534
Mailing address
820 S ALMA DR, SUITE 100, ALLEN, TX 75013-3808
(214) 383-2641
(214) 383-9534
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
667260000
TX
Other
Enumeration date
12/15/2009
Last updated
12/15/2009
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