Provider Demographics
NPI:1063879922
Name:ATHLETES TREATING ATHLETES LLC
Entity type:Organization
Organization Name:ATHLETES TREATING ATHLETES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEIGH BOYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, CSCS
Authorized Official - Phone:603-969-8095
Mailing Address - Street 1:5004 BEE CREEK RD
Mailing Address - Street 2:STE 520
Mailing Address - City:SPICEWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:78669-6827
Mailing Address - Country:US
Mailing Address - Phone:603-969-8095
Mailing Address - Fax:
Practice Address - Street 1:5004 BEE CREEK RD
Practice Address - Street 2:STE 520
Practice Address - City:SPICEWOOD
Practice Address - State:TX
Practice Address - Zip Code:78669-6827
Practice Address - Country:US
Practice Address - Phone:603-969-8095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-24
Last Update Date:2016-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1223563261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy