1p410 Sports Performance
NPI #1588070528 in The Woodlands, Texas
Provider Information
- NPI Number
- 1588070528
- Entity Type
- Organization
- Organization Name
- 1p410 Sports Performance
- Primary Specialty
- Chiropractor - Sports Physician
- Enumeration Date
- Jul 10, 2014
- Last Updated
- Jul 10, 2014
Practice Location
- Address
- 7 PLAYER GROVE CT
- City
- The Woodlands
- State
- Texas
- ZIP Code
- 77382-2124
- Phone
- (832) 791-5954
Authorized Official
- Name
- DR. DERRICK RAYMER, D.C.
- Title
- DIRECTOR OF SPORTS PERFORMANCE
- Phone
- (832) 791-5954
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor - Sports Physician — Sports Physician |
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