NPI 1104655448

Tactical Performance Physio LLC

Organisation Physical Therapist Cary, NC

Practice location

Address: 130 Twin Oaks Pl, Cary, NC 27511-5566
Phone: (845) 527-4103

Authorised official

Name: Blaze Charles Chatham
Title: Owner/Founder
Phone: (845) 527-4103

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X

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Registry record

NPI: 1104655448
Entity type: Organization
NPI issued: 26 Jul 2024
Record last updated: 26 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.