| Organization Name: | SPINE WORKS PHYSICAL THERAPY PLLC |
| NPI Number: | 1174820732 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELODY RIVERS (MANAGER) |
| Mailing Address: | 8801 North Tarrant Parkway North Richland Hills |
| State: | TX US |
| Postal Code: | 76182 |
| Phone Number: | 8176160700 |
| Fax Number: | |
| NPI Enumeration Date: | 02/17/2011 |
| NPI Last Update Date: | 06/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |