| Organization Name: | SPORTS REHABILITATION SPECIALISTS, INC |
| NPI Number: | 1003929357 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHEILA MARIE PICKREL (VICE PRESIDENT) |
| Mailing Address: | 1901 Cooper St Ft Worth |
| State: | TX US |
| Postal Code: | 76104 |
| Phone Number: | 8178778977 |
| Fax Number: | 8178771106 |
| NPI Enumeration Date: | 08/17/2006 |
| NPI Last Update Date: | 11/29/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |