Organization
INNOVATIVE SPORTS THERAPY LLC
Active
Other names
Innovative Sports Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WILLIAMS PT (OWNER)
(512) 944-2492
Entity
Organization
Contact information
Practice address
3932-A RR 620 S., BEE CAVE, TX 78738
(512) 944-2492
Mailing address
9901 BRODIE LN STE 160-327, AUSTIN, TX 78748-5803
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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