Healthcare Provider Details

I. General information

NPI: 1558978627
Provider Name (Legal Business Name): VELOCITY PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 09/23/2020
Certification Date: 09/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 BOLIVAR ST
SANGER TX
76266-9775
US

IV. Provider business mailing address

3301 SUNDOWN BLVD
DENTON TX
76210-8032
US

V. Phone/Fax

Practice location:
  • Phone: 940-387-3700
  • Fax:
Mailing address:
  • Phone: 940-387-3700
  • Fax: 940-488-4513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DOUG PAUL SOELL
Title or Position: OWNER
Credential:
Phone: 940-387-3700