| Organization Name: | GARNER & RILEY PHYSICAL THERAPY LPC |
| NPI Number: | 1871716001 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CONNIE S WALLACE (OFFICE MANAGER) |
| Mailing Address: | 301 Highway 71 W Suite 106 Bastrop |
| State: | TX US |
| Postal Code: | 786024105 |
| Phone Number: | 5123219659 |
| Fax Number: | 5123211226 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 06/04/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 643460000 |
| 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 |