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Organization

FAST TWITCH ATHLETIC WELLNESS, LLC

Active
Other names
Fast Twitch Athletic Training & Personal Wellness Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DEMOND C. JORDAN (FOUNDER/GENERAL MANAGER)
(281) 865-2236
Entity
Organization

Contact information

Practice address
24022 CINCO VILLAGE CENTER BLVD, SUITE 120, KATY, TX 77494-8397
(281) 391-3648
Mailing address
24022 CINCO VILLAGE CENTER BLVD, SUITE 120, KATY, TX 77494-8397
(281) 391-3648

Taxonomy

Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
1170668
TX

Other

Enumeration date
09/29/2010
Last updated
09/29/2010
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