MEDICARE: HEALING TOUCH PHYSICAL THERAPY, LLC

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	261QP2000X	Physical Therapy Clinic/Center	1215863	TX

General Provider Information

NPI Number	:	1770943003
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING TOUCH PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	4227 FIREBRICK LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-5136
Country	:	US
Telephone Number	:	972-342-4210
Fax Number	:	972-797-0691

Provider Business Practice Location Address
First Line	:	4227 FIREBRICK LN
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75287-5136
Country	:	US
Telephone Number	:	972-342-4210
Fax Number	:	972-767-0691

Authorized Official
Title or Position	:	PHYSICAL THERAPIST/OWNER
Name	:	MARCELINA A JOHNSON
Credential	:	PT
Telephone Number	:	972-342-4210

Provider Enumeration Date	:	02/29/2016
Last Update Date	:	02/29/2016

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