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1053225607 NPI number — SELAH THERAPY & NEUROREHAB PLLC

NPI Number: 1053225607
Health Care Provider/Practitioner: SELAH THERAPY & NEUROREHAB PLLC

Information about “1053225607” NPI (SELAH THERAPY & NEUROREHAB PLLC) exists in 1053225607 in HTML format HTML  |  1053225607 in plain Text format TXT  |  1053225607 in PDF (Portable Document Format) PDF  |  1053225607 in an XML format XML  formats.

NPI Number : 1053225607 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053225607",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SELAH THERAPY & NEUROREHAB PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "825 GRAY CLOUD DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEW BRAUNFELS",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78130-5073",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "830-643-9352",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "189 E AUSTIN ST STE 105",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEW BRAUNFELS",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78130-4170",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "830-643-9352",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/30/2026",
    "LastUpdateDate": "09/30/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BOYD",
    "AuthorizedOfficialFirstName": "ELIZABETH",
    "AuthorizedOfficialMiddleName": "BROOKE",
    "AuthorizedOfficialTitle": "SPEECH-LANGUAGE PATHOLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.S. CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "830-643-9352",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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