Organization Name: | RIATA THERAPY SPECIALISTS PLLC |
NPI Number: | 1023027471 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TINA A NEUWIRTH (OWNER AND PHYSICAL THERAPIST) |
Mailing Address: | 2008 L Don Dodson Dr Suite 105 Bedford |
State: | TX US |
Postal Code: | 760215788 |
Phone Number: | 8172880121 |
Fax Number: | 8172880124 |
NPI Enumeration Date: | 08/05/2006 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | 655740000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |