NPI 1023723798 · live from the CMS NPI Registry
Abundant Life Physical Therapy, LLC
Physical Therapist in Statesville, NC. National Provider Identifier 1023723798, active.
NPI record
| NPI | 1023723798 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1531 Cinema Dr Ste C, Statesville, NC 28625 |
| Practice phone | 980-443-6070 |
| Mailing address | 133 Riding Trl, Mooresville, NC 28117 |
| Enumerated | January 17, 2023 |
| Last updated | January 17, 2023 |
| Authorized official | Richard Stewart, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.