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NPI Code Detail

MEDICARE: SAGINAW VALLEY SPORT & SPINE LIMITED PARTNERSHIP

MEDICARE: SAGINAW VALLEY SPORT & SPINE LIMITED PARTNERSHIP
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 Therapist

General Provider Information

NPI Number : 1699776260
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAGINAW VALLEY SPORT & SPINE LIMITED PARTNERSHIP
Provider Business Mailing Address
First Line : 1300 W SAM HOUSTON PKWY S
Second Line : SUITE 300
City : HOUSTON
State : TX
Zip : 77042-2447
Country : US
Telephone Number : 713-297-7000
Fax Number : 713-297-7090
Provider Business Practice Location Address
First Line : 3901 BAY RD
Second Line :
City : SAGINAW
State : MI
Zip : 48603-2438
Country : US
Telephone Number : 989-797-6040
Fax Number : 989-797-6054
Authorized Official
Title or Position : VP, AUTHORIZED OFFICIAL
Name : JANNA P. KING
Credential : JD
Telephone Number : 713-297-7000
Provider Enumeration Date : 08/09/2005
Last Update Date : 08/22/2020

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Directions to “SAGINAW VALLEY SPORT & SPINE LIMITED PARTNERSHIP ” Practice Location

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