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NPI Code Detail

MEDICARE: AGILITAS USA, INC.

MEDICARE: AGILITAS USA, INC.
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1144893439
Entity Type Code : Organization
Provider Name (Legal Business Name) : AGILITAS USA, INC.
Provider Business Mailing Address
First Line : PO BOX 306393
Second Line :
City : NASHVILLE
State : TN
Zip : 37230-6393
Country : US
Telephone Number : 615-373-1350
Fax Number : 615-221-9054
Provider Business Practice Location Address
First Line : 6777 WOODLANDS PKWY STE 208
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77382-2785
Country : US
Telephone Number : 281-729-5333
Fax Number : 281-407-3604
Authorized Official
Title or Position : CFO
Name : ANDREW LANGE
Credential :
Telephone Number : 615-373-1350
Provider Enumeration Date : 07/23/2021
Last Update Date : 07/23/2021

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Directions to “AGILITAS USA, INC. ” Practice Location

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