Healthcare Provider Details

I. General information

NPI: 1316260557
Provider Name (Legal Business Name): TEXAS PHYSICAL THERAPY SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20322 HUEBNER RD SUITE 105
SAN ANTONIO TX
78258-3462
US

IV. Provider business mailing address

8930 FOUR WINDS DR SUITE 109
SAN ANTONIO TX
78239-1970
US

V. Phone/Fax

Practice location:
  • Phone: 210-494-4500
  • Fax: 210-494-4501
Mailing address:
  • Phone: 888-590-4002
  • Fax: 210-590-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number654940007
License Number StateTX

VIII. Authorized Official

Name: DR. JENNIFER ELLEN CHRISTIE
Title or Position: CLINIC DIRECTOR
Credential: DPT
Phone: 210-494-4500