Provider Demographics
NPI:1144957739
Name:UPLIFT PHYSICAL THERAPY AND PERFORMANCE, PLLC
Entity type:Organization
Organization Name:UPLIFT PHYSICAL THERAPY AND PERFORMANCE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:253-722-4065
Mailing Address - Street 1:7523 ROBIN REST DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-3135
Mailing Address - Country:US
Mailing Address - Phone:253-722-4065
Mailing Address - Fax:
Practice Address - Street 1:7523 ROBIN REST DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-3135
Practice Address - Country:US
Practice Address - Phone:253-722-4065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy