Organization Name: | TILLMAN PHYSICAL THERAPY & SPORTS TRAINING |
NPI Number: | 1477703114 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERLY FAUBION (DPT) |
Mailing Address: | 2519 S Lakeline Blvd Suite 100 Cedar Park |
State: | TX US |
Postal Code: | 786132964 |
Phone Number: | 5123316200 |
Fax Number: | 5133316384 |
NPI Enumeration Date: | 09/30/2008 |
NPI Last Update Date: | 09/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3106512 |
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 |