Organization Name: | CENTRAL TEXAS WELLLNESS CENTER, L.L.C. |
NPI Number: | 1124297254 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONOVAN L. THOMAS (OWNER/SOLE MEMBER) |
Mailing Address: | 1105 S Medina St Lockhart |
State: | TX US |
Postal Code: | 786443259 |
Phone Number: | 5123986262 |
Fax Number: | 5123986040 |
NPI Enumeration Date: | 02/22/2008 |
NPI Last Update Date: | 02/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1100634 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |