Provider Demographics
NPI:1346886736
Name:PRECISION PERFORMANCE PHYSICAL THERAPY
Entity Type:Organization
Organization Name:PRECISION PERFORMANCE PHYSICAL THERAPY
Other - Org Name:PRECISION PERFORMANCE PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:HERTING
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:610-256-8304
Mailing Address - Street 1:1451 CONCHESTER HWY
Mailing Address - Street 2:
Mailing Address - City:GARNET VALLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19060-2104
Mailing Address - Country:US
Mailing Address - Phone:610-256-8304
Mailing Address - Fax:
Practice Address - Street 1:1451 CONCHESTER HWY
Practice Address - Street 2:
Practice Address - City:GARNET VALLEY
Practice Address - State:PA
Practice Address - Zip Code:19060-2104
Practice Address - Country:US
Practice Address - Phone:484-800-8186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy