Organization
REVIVE PERFORMANCE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ERIC SUMMERFORD PT (OWNER)
(706) 575-2089
Entity
Organization
Contact information
Practice address
6720 FLAT ROCK CT STE A, MIDLAND, GA 31820-3663
(706) 580-4437
Mailing address
6720 FLAT ROCK CT STE A, MIDLAND, GA 31820-3663
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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