Organization Name: | INTERIM HEALTHCARE OF WEST TEXAS LLC |
NPI Number: | 1437104221 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIM BULLARD (PRESIDENT) |
Mailing Address: | 3501 S Soncy Rd Suite 134 Amarillo |
State: | TX US |
Postal Code: | 791196407 |
Phone Number: | 8064671156 |
Fax Number: | 8064671168 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 01/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 007787 |
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 |