Organization
ULTIMATE EDGE SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BECKER PT (OWNER)
(419) 392-4394
Entity
Organization
Contact information
Practice address
1581 MONTGOMERY HWY STE 115, HOOVER, AL 35216-4536
(205) 874-6765
Mailing address
1581 MONTGOMERY HWY STE 115, HOOVER, AL 35216-4536
(205) 874-6765
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTH 6023
AL
Other
Enumeration date
04/22/2016
Last updated
12/02/2016
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