Healthcare Provider Details

I. General information

NPI: 1225219314
Provider Name (Legal Business Name): THERAPY CONNECTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2007
Last Update Date: 06/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1304 ROYAL LN APT 1
CISCO TX
76437-3651
US

IV. Provider business mailing address

PO BOX 750
CISCO TX
76437-0750
US

V. Phone/Fax

Practice location:
  • Phone: 254-442-9931
  • Fax: 254-442-9946
Mailing address:
  • Phone: 254-442-9931
  • Fax: 254-442-9946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number1130870
License Number StateTX

VIII. Authorized Official

Name: MRS. GINNY POPE WITT
Title or Position: PHYSICAL THERAPIST/PRESIDENT
Credential: P.T.
Phone: 325-660-2764