| Organization Name: | ECCLEAGE THERAPY LLC |
| NPI Number: | 1912949264 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IKECHUKWU UMEH (OWNER/PHYSICAL THERAPIST) |
| Mailing Address: | 39614 Mile 7 Rd Penitas |
| State: | TX US |
| Postal Code: | 785767515 |
| Phone Number: | 9568003200 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2006 |
| NPI Last Update Date: | 05/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation |
| Taxonomy Definition: | |