Extramile Therapy, LLC

NPI #1912527003 in Eustace, Texas

Provider Information

NPI Number: 1912527003
Entity Type: Organization
Organization Name: Extramile Therapy, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 20, 2020
Last Updated: Apr 20, 2020

Practice Location

Address: 12569 COUNTY ROAD 2803
City: Eustace
State: Texas
ZIP Code: 75124-3920
Phone: (903) 807-0644

Authorized Official

Name: STEPHANIE SYPERT, PT
Title: OWNER
Phone: (512) 787-4677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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