Provider Demographics
NPI:1215137195
Name:VALEO HUMAN PERFORMANCE, LLC
Entity type:Organization
Organization Name:VALEO HUMAN PERFORMANCE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ELVIN
Authorized Official - Last Name:COLOSKY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PT, ATC
Authorized Official - Phone:281-488-5877
Mailing Address - Street 1:1235 CLEAR LAKE CITY BLVD
Mailing Address - Street 2:SUITE F
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-8105
Mailing Address - Country:US
Mailing Address - Phone:281-488-5877
Mailing Address - Fax:832-201-9314
Practice Address - Street 1:1235 CLEAR LAKE CITY BLVD
Practice Address - Street 2:SUITE F
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-8105
Practice Address - Country:US
Practice Address - Phone:281-488-5877
Practice Address - Fax:832-201-9314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1173220225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty