Organization
AXIS PHYSIOTHERAPY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LEARY DPT, ATC (CO-OWNER/ PHYSICAL THERAPIST)
(850) 499-9033
Entity
Organization
Contact information
Practice address
339 RACETRACK RD NW STE 18&20, FORT WALTON BEACH, FL 32547-1538
(850) 499-9033
Mailing address
1646 PARKSIDE CIR, NICEVILLE, FL 32578-8706
(850) 499-9033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
10/23/2019
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