Organization Name: | LIGHTHOUSE THERAPY SERVICES, INC. |
NPI Number: | 1144276577 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JO LEAH PONDER (ASSISTANT OFFICE MANAGER) |
Mailing Address: | 822 N 4th St Longview |
State: | TX US |
Postal Code: | 756015433 |
Phone Number: | 9037538499 |
Fax Number: | 9037538502 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |