Core Physical Therapy Keller

NPI #1164172912 in Keller, Texas

Provider Information

NPI Number
1164172912
Entity Type
Organization
Organization Name
Core Physical Therapy Keller
Subpart
Yes (part of a larger organization)
Parent Organization
CASTLE SURGICAL MANAGEMENT LLC
Primary Specialty
Clinic/Center - Physical Therapy
Enumeration Date
Mar 25, 2022
Last Updated
Mar 25, 2022

Practice Location

Address
601 S MAIN ST STE 105
City
Keller
State
Texas
ZIP Code
76248-7027
Phone
(501) 580-8352

Authorized Official

Name
NICOLE TATE
Title
CREDENTIALING
Phone
(817) 200-6492

Specialties & Taxonomy Codes

Specialty
Orthopaedic Surgery - Sports MedicineSports Medicine
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical
Clinic/Center - RadiologyRadiology
Clinic/Center - Physical TherapyPhysical Therapy

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