Organization
MEDICAL EXERCISE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN NEAL WILLIAMS OWNER (OWNER)
(409) 383-9521
Entity
Organization
Contact information
Practice address
212 NE WILSHIRE BLVD, BURLESON, TX 76028-4117
(409) 383-9521
(817) 642-5815
Mailing address
212 NE WILSHIRE BLVD, BURLESON, TX 76028-4117
(409) 383-9521
(817) 642-5815
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
TX
261QH0100X
Health Service Clinic/Center
Primary
—
TX
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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