=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407763402
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOROTEX
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/25/2026
-----------------------------------------------------
Last Update Date | 08/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 465 THOMAS ARNOLD RD STE C
-----------------------------------------------------
City | SALADO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76571-5703
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-604-7656
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 465 THOMAS ARNOLD RD STE C
-----------------------------------------------------
City | SALADO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76571-5703
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 254-604-7656
-----------------------------------------------------
Fax | 800-881-6139
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OPERATOR
-----------------------------------------------------
Name | TIFFANY SHEFFIELD
-----------------------------------------------------
Credential | PT, DPT, MHA
-----------------------------------------------------
Telephone | 254-604-7656
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------