Organization
GATE CITY SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH LEVESQUE PT, DPT, OCS (OWNER)
(603) 417-5087
Entity
Organization
Contact information
Practice address
436 AMHERST ST STE 102, NASHUA, NH 03063-1276
(603) 417-5087
(603) 417-5089
Mailing address
436 AMHERST ST STE 102, NASHUA, NH 03063-1276
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
02/21/2024
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