Provider Demographics
NPI:1851134787
Name:FREEDOM PHYSICAL THERAPY AND PERFORMANCE CENTER LLC
Entity type:Organization
Organization Name:FREEDOM PHYSICAL THERAPY AND PERFORMANCE CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARANDA
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:775-813-7613
Mailing Address - Street 1:9222 PROTOTYPE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8989
Mailing Address - Country:US
Mailing Address - Phone:775-451-5050
Mailing Address - Fax:775-451-5025
Practice Address - Street 1:9222 PROTOTYPE DR STE 100
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8989
Practice Address - Country:US
Practice Address - Phone:775-813-7613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy