Organization
YOUNGBLOOD PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN TODD YOUNGBLOOD PT (OWNER)
(806) 683-0711
Entity
Organization
Contact information
Practice address
11661 PRESTON RD STE 175, DALLAS, TX 75230-6181
(806) 683-0711
Mailing address
5440 ANITA ST, DALLAS, TX 75206-5336
(806) 683-0711
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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