Organization
BUILT 4 IT ATHLETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KECIA MCKENZIE PT (OWNER)
(469) 919-6299
Entity
Organization
Contact information
Practice address
700 INDUSTRY WAY STE 40, PROSPER, TX 75078-3116
(469) 919-6299
Mailing address
700 INDUSTRY WAY STE 40, PROSPER, TX 75078-3116
(469) 919-6299
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
12/20/2022
Last updated
12/22/2022
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