Organization
PUCKETT SPORTS REHAB
Active
Other names
Puckett Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
TIM PUCKETT DPT (OWNER)
(210) 387-6993
Entity
Organization
Contact information
Practice address
14886 TRADESMAN STE 110, SAN ANTONIO, TX 78249-1394
(210) 742-9423
(210) 855-2542
Mailing address
19926 HORIZON BLF, SAN ANTONIO, TX 78258-3150
(210) 387-6993
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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