Healthcare Provider Details

I. General information

NPI: 1841528676
Provider Name (Legal Business Name): COMPASSION THERAPIES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2009
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 COBBLESTONE LN
CRAWFORD TX
76638-2732
US

IV. Provider business mailing address

203 COBBLESTONE LN
CRAWFORD TX
76638-2732
US

V. Phone/Fax

Practice location:
  • Phone: 254-644-2423
  • Fax: 254-848-4193
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: JULIE LATINO
Title or Position: OWNER
Credential: PT
Phone: 254-644-2423