Organization
POWERMILL PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEVIN POWERS (PHYSICAL THERAPIST/OWNER)
(325) 763-9339
Entity
Organization
Contact information
Practice address
14828 BLAKELY WAY, ALEDO, TX 76008-1547
(325) 763-9339
Mailing address
14828 BLAKELY WAY, ALEDO, TX 76008-1547
(325) 763-9339
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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