Tillman Physical Therapy & Sports Training Center, Inc in Cedar Park - Clinic/center
Tillman Physical Therapy & Sports Training Center, Inc - NPI 1376579797
Tillman Physical Therapy & Sports Training Center, Inc is a Clinic/center in Cedar Park, Texas. Tillman Physical Therapy & Sports Training Center, Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Tillman Physical Therapy & Sports Training Center, Inc is 1376579797. The last update date is 2011-03-17.
Tillman Physical Therapy & Sports Training Center, Inc's current location address is 2519 S Lakeline Blvd, Cedar Park, Texas. You can contact this provider via phone number 5123316200 and fax number 5123316384. The mailing address for Tillman Physical Therapy & Sports Training Center, Inc is 2519 S Lakeline Blvd, Cedar Park, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tillman Physical Therapy & Sports Training Center, Inc |
|---|---|
| Address | 2519 S Lakeline Blvd, Cedar Park, Texas |
| Phone Number | 5123316200 |
| Fax Number | 5123316384 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYICAL TH |
|---|---|
| Authorized Official Name | Tillman Ray Michael |
| Credentials | MPT, CSCS, |
| Telephone Number | 5123316200 |
NPI Number Detail
| NPI Number | 1376579797 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2011-03-17 |
Provider Mailing Address Detail
| Address | 2519 S Lakeline Blvd |
|---|---|
| City | Cedar Park |
| State | Texas (TX) |
| Post Code | 786132964 |
| Phone Number | 5123316200 |
| Fax Number | 5123316384 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 554280000 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 153870401 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tillman Physical Therapy & Sports Training Center, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Tillman Physical Therapy & Sports Training Center, Inc has been assigned the NPI (National Provider Identifier) 1376579797. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Tillman Physical Therapy & Sports Training Center, Inc?
The Tillman Physical Therapy & Sports Training Center, Inc is physically situated at 2519 S Lakeline Blvd, in the city of Cedar Park, state of TX, with the postal code 786132964.
What is the area of specialization for Tillman Physical Therapy & Sports Training Center, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tillman Physical Therapy & Sports Training Center, Inc is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did the Tillman Physical Therapy & Sports Training Center, Inc receive the assignment of its 1376579797 from the Centers for Medicare & Medicaid Services?
The Tillman Physical Therapy & Sports Training Center, Inc was issued its 1376579797 by the Centers for Medicare & Medicaid Services on 2006-06-25.
When was the Tillman Physical Therapy & Sports Training Center, Inc's information last updated?
The Tillman Physical Therapy & Sports Training Center, Inc's information was last updated on 2011-03-17.