MEDICARE: MAKE TODAY COUNT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1084135	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0004PB	OTHER	TX	BCBS TX

General Provider Information

NPI Number	:	1669699492
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAKE TODAY COUNT INC

Provider Business Mailing Address
First Line	:	PO BOX 476
Second Line	:
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654-0476
Country	:	US
Telephone Number	:	830-693-0145
Fax Number	:	830-693-4097

Provider Business Practice Location Address
First Line	:	2312 N HWY 281
Second Line	:
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654-4360
Country	:	US
Telephone Number	:	830-693-0145
Fax Number	:	830-693-4097

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RUSSELL H PANGBORN
Credential	:	PT
Telephone Number	:	830-693-0145

Provider Enumeration Date	:	04/20/2007
Last Update Date	:	01/31/2008

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Directions to “MAKE TODAY COUNT INC ” Practice Location

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