Healthcare Provider Details
I. General information
NPI: 1801223755
Provider Name (Legal Business Name): VELOCITY PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2013
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3201 TEASLEY LN SUITE 201
DENTON TX
76210-8302
US
IV. Provider business mailing address
3301 SUNDOWN BLVD
DENTON TX
76210-8032
US
V. Phone/Fax
- Phone: 940-387-3700
- Fax:
- Phone: 940-387-3700
- Fax: 940-488-4513
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | 1176807 |
| License Number State | TX |
VIII. Authorized Official
Name:
DOUG
SOELL
Title or Position: OWNER
Credential: PT, MPT
Phone: 940-367-6057