=====================================================
General NPI Number Information
=====================================================
NPI Number | 1982590253
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WRIGHT THERAPY CONNECTIONS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/14/2025
-----------------------------------------------------
Last Update Date | 06/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3800 S W S YOUNG DR STE 104C
-----------------------------------------------------
City | KILLEEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76542-3312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-293-7258
-----------------------------------------------------
Fax | 254-245-8177
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3800 S W S YOUNG DR STE 104C
-----------------------------------------------------
City | KILLEEN
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76542-3312
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 512-293-7258
-----------------------------------------------------
Fax | 254-245-8177
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF EXECUTIVE OFFICER
-----------------------------------------------------
Name | GINA MARIE WRIGHT
-----------------------------------------------------
Credential | MA CCC-SLP
-----------------------------------------------------
Telephone | 512-293-7258
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------