Sport and Spine Physical Therapy and Wellness Center, LLC

NPI #1629350137 in Lutz, Florida

Provider Information

NPI Number: 1629350137
Entity Type: Organization
Organization Name: Sport and Spine Physical Therapy and Wellness Center, LLC
Primary Specialty: Clinic/Center - Physical Therapy
Enumeration Date: Sep 12, 2011
Last Updated: Jul 12, 2018

Practice Location

Address: 17824 N US HIGHWAY 41
City: Lutz
State: Florida
ZIP Code: 33549
Phone: (813) 948-1020

Authorized Official

Name: RYAN P WHELTON, MSPT, DPT
Title: OWNER
Phone: (813) 948-1020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X	Primary

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