Legacy Physical Therapy and Wellness LLC

NPI #1932748498 in Roanoke, Texas

Provider Information

NPI Number: 1932748498
Entity Type: Organization
Organization Name: Legacy Physical Therapy and Wellness LLC
Primary Specialty: Physical Therapist
Enumeration Date: Jan 2, 2020
Last Updated: Jul 16, 2021

Practice Location

Address: 351 N BYRON NELSON BLVD
Address 2: SUITE 110
City: Roanoke
State: Texas
ZIP Code: 76262
Phone: (254) 855-3156

Authorized Official

Name: MRS. KELLEY LEE HALE, PT,DPT
Title: OWNER
Phone: (254) 855-3156

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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