Organization Name: | HUTTO THERAPY CENTER |
NPI Number: | 1841265295 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL ANTHONY THOMPSON (CO OWNER PHYSICAL THERAPIST) |
Mailing Address: | 101 Park St Hutto |
State: | TX US |
Postal Code: | 78634 |
Phone Number: | 5128462266 |
Fax Number: | 5128462245 |
NPI Enumeration Date: | 02/21/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |