Organization
ATHLETES ULTIMATE PERFORMANCE SPORTS & REHAB,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE ANTHONY DAIGLE D.C, B.S (CO-OWNER)
(409) 722-1030
Entity
Organization
Contact information
Practice address
2350 NALL ST, PORT NECHES, TX 77651-4204
(409) 722-1030
Mailing address
2350 NALL ST, PORT NECHES, TX 77651-4204
(409) 722-1030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11964
TX
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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