Organization · Type 2 NPI

Pedi Spot LLC

Rehabilitation Clinic/Center · Tyler, TX

NPI number 1053510974 Active

Practice location

4801 Troup Hwy, Suite 800
Tyler, TX 75703-2356

Call (903) 939-2800 Map

Fax (903) 581-7057

Mailing address

4965 Preston Park Blvd, Suite 200
Plano, TX 75093-5180

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400XNone listed

Rehabilitation Clinic/Center: Definition to come...

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About NPI 1053510974

Pedi Spot LLC's National Provider Identifier is 1053510974, issued on Jul 11, 2007. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Tyler, TX. The record was last updated on Feb 18, 2008.