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NPI Code Detail

MEDICARE: VALEO HUMAN PERFORMANCE, LLC

MEDICARE: VALEO HUMAN PERFORMANCE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1173220TX

General Provider Information

NPI Number : 1215137195
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALEO HUMAN PERFORMANCE, LLC
Provider Business Mailing Address
First Line : 1235 CLEAR LAKE CITY BLVD
Second Line : SUITE F
City : HOUSTON
State : TX
Zip : 77062-8105
Country : US
Telephone Number : 281-488-5877
Fax Number : 832-201-9314
Provider Business Practice Location Address
First Line : 1235 CLEAR LAKE CITY BLVD
Second Line : SUITE F
City : HOUSTON
State : TX
Zip : 77062-8105
Country : US
Telephone Number : 281-488-5877
Fax Number : 832-201-9314
Authorized Official
Title or Position : OWNER/PHYSICAL THERAPIST
Name : MR. PAUL ELVIN COLOSKY JR.
Credential : PT, ATC
Telephone Number : 281-488-5877
Provider Enumeration Date : 07/19/2007
Last Update Date : 07/19/2007

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Directions to “VALEO HUMAN PERFORMANCE, LLC ” Practice Location

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