Healthcare Provider Details

I. General information

NPI: 1841812930
Provider Name (Legal Business Name): REMEDY THERAPY STAFFING - SAN ANTONIO PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2020
Last Update Date: 05/11/2020
Certification Date: 05/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1711 FRATE BARKER RD
AUSTIN TX
78748-3600
US

IV. Provider business mailing address

PO BOX 609
BUDA TX
78610-0609
US

V. Phone/Fax

Practice location:
  • Phone: 512-981-9574
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: KERI MICHELLE JACKSON
Title or Position: MANAGING MEMBER
Credential: PT
Phone: 512-981-9574