Organization
A K FITNESS THERAPY CENTER
Active
Other names
A K FITNESS THERAPY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRANDI MICHELLE DACUS L.P.T. (PT SUPERVISIOR)
(903) 663-6332
Entity
Organization
Contact information
Practice address
2903 JUDSON ROAD, LONGVIEW, TX 75605
(903) 663-6332
Mailing address
4510 PYEATT DR., GLADEWATER, TX 75647
(903) 522-1477
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1170890
TX
Other
Enumeration date
01/02/2007
Last updated
06/13/2008
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