MEDICARE: RAWLINS QUALITY PT SERVICES PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	1172786	TX

General Provider Information

NPI Number	:	1548703309
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAWLINS QUALITY PT SERVICES PLLC

Provider Business Mailing Address
First Line	:	518 LADDINGFORD LN
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-1843
Country	:	US
Telephone Number	:	281-250-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	518 LADDINGFORD LN
Second Line	:
City	:	LEAGUE CITY
State	:	TX
Zip	:	77573-1843
Country	:	US
Telephone Number	:	281-250-1335
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST
Name	:	SHEVAUGHN D RAWLINS
Credential	:	MPT, DPT
Telephone Number	:	281-250-1335

Provider Enumeration Date	:	11/28/2016
Last Update Date	:	11/28/2016

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