Ignite Sports and Rehab of Ardmore INC

NPI #1629452149 in Ardmore, Oklahoma

Provider Information

NPI Number
1629452149
Entity Type
Organization
Organization Name
Ignite Sports and Rehab of Ardmore INC
Primary Specialty
Physical Therapist - Sports
Enumeration Date
Jul 14, 2015
Last Updated
Jul 14, 2015

Practice Location

Address
908 N ROCKFORD RD
Address 2
SUITE C
ZIP Code
73401-2540
Phone
(580) 490-3312

Authorized Official

Name
BRIAN MARK TREADWELL
Title
CEO / OWNER
Phone
(580) 490-3312

Specialties & Taxonomy Codes

Specialty
Physical Therapist - SportsSports

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