Organization
ELEVATE PHYSICAL THERAPY & PERFORMANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COREY HENDERSON (OWNER)
(724) 427-5530
Entity
Organization
Contact information
Practice address
180 S BRADY ST, BLAIRSVILLE, PA 15717-1147
(724) 516-6147
Mailing address
180 S BRADY ST, BLAIRSVILLE, PA 15717-1147
(724) 516-6147
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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