Organization Name: | THREE LAKES PHYSICAL THERAPY LLC |
NPI Number: | 1972976405 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE HARTMAN (OWNER) |
Mailing Address: | 5000 Bee Caves Rd Suite 200 West Lake Hills |
State: | TX US |
Postal Code: | 787465266 |
Phone Number: | 5123288912 |
Fax Number: | |
NPI Enumeration Date: | 11/05/2015 |
NPI Last Update Date: | 11/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |