Organization
MIDWEST SPORTS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN J FULLER PT (DIRECTOR)
(740) 775-7722
Entity
Organization
Contact information
Practice address
4453 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 775-7722
(740) 775-7732
Mailing address
4453 STATE ROUTE 159, CHILLICOTHE, OH 45601-8620
(740) 775-7722
(740) 775-7732
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/23/2007
Last updated
08/22/2020
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