Organization
PULSESPORTZ FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN SMITH (PRES.)
(704) 406-0501
Entity
Organization
Contact information
Practice address
818 FRIENDLY PL, CHARLOTTE, NC 28213-5800
(704) 313-5167
Mailing address
818 FRIENDLY PL, CHARLOTTE, NC 28213-5800
(704) 313-5167
Taxonomy
Speciality
Code
Description
License number
State
103TE1100X
Exercise & Sports Psychologist
—
—
251F00000X
Home Infusion Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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