Organization
MYTHICAL FITNESS TRAINERS LLC
Active
Other names
Fortitude Health and Performance
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN TYLER MARTINEZ (PHYSICAL THERAPIST ASSITANT)
(806) 215-4519
Entity
Organization
Contact information
Practice address
4915 LAKEPARK DR, SANGER, TX 76266-1406
(806) 215-4519
Mailing address
104 CAROLYN DR, SANGER, TX 76266-9674
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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