Initium Physical Therapy And Sports Performance Llc

LBN: Initium Physical Therapy And Sports Performance Llc
Initium Physical Therapy And Sports Performance Llc is an health care organization with primary practice located at 2506 S State St , Saint Joseph MI 49085-1916. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Initium Physical Therapy And Sports Performance Llc can be contacted via phone (269) 470-5831, or through Carr, Trevor via phone (269) 470-5831.

Contact Information

Primary practice address
2506 S State St Saint Joseph MI 49085-1916
Phone: (269) 470-5831
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carr, Trevor DPT
Phone: (269) 470-5831

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1144973769
LBN Legal business name Initium Physical Therapy And Sports Performance Llc
DBA Doing business as
Authorized official Carr, Trevor DPT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2022
Last updated Feb 2nd, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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