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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 : 1659954931
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 :
Provider Business Practice Location Address
First Line : 7551 W. ELDORADO PKWY
Second Line : STE 300
City : MCKINNEY
State : TX
Zip : 70570-5604
Country : US
Telephone Number : 469-625-2676
Fax Number : 469-722-7844
Authorized Official
Title or Position : CFO
Name : ANDREW LANGE
Credential :
Telephone Number : 615-373-1350
Provider Enumeration Date : 05/04/2021
Last Update Date : 05/04/2021

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Directions to “AGILITAS USA, INC ” Practice Location

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