Provider Demographics
NPI:1740475128
Name:SET SPORTS PHYSICAL THERAPY PLLC
Entity type:Organization
Organization Name:SET SPORTS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STACY
Authorized Official - Middle Name:L
Authorized Official - Last Name:HUND
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:202-210-1131
Mailing Address - Street 1:555 13TH ST NW
Mailing Address - Street 2:C112
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20004-1109
Mailing Address - Country:US
Mailing Address - Phone:202-210-1131
Mailing Address - Fax:
Practice Address - Street 1:555 13TH ST NW
Practice Address - Street 2:C112
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20004-1109
Practice Address - Country:US
Practice Address - Phone:202-210-1131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870551261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy