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General NPI Number Information
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NPI Number | 1023027471
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Entity Type | Organization
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Legal Business Name | RIATA THERAPY SPECIALISTS LLC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/02/2025
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Provider Practice Location Address
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Address Line | 651 S MAIN ST STE 100
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City | KELLER
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State | TX
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Zip | 76248-7037
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Country | US
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Telephone | 817-898-7090
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Fax | 817-562-2950
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Provider Business Mailing Address
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Address Line | 651 S MAIN ST STE 100
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City | KELLER
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State | TX
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Zip | 76248-7037
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Country | US
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Telephone | 817-898-7090
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Fax | 817-562-2950
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Authorized Official
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Title or Position | OWNER
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Name | DR. TINA A NEUWIRTH
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Credential | PT, DPT
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Telephone | 817-898-7090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 655740000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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