MEDICARE: TRILOGY THERAPY SERVICES, 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	261QR0400X	Rehabilitation Clinic/Center	109013-01	TX

General Provider Information

NPI Number	:	1811178361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRILOGY THERAPY SERVICES, INC.

Provider Business Mailing Address
First Line	:	1706 HWY 1431 WEST
Second Line	:	SUITE A
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654
Country	:	US
Telephone Number	:	830-798-6641
Fax Number	:	830-798-1871

Provider Business Practice Location Address
First Line	:	1706 HWY 1431
Second Line	:	SUITE A
City	:	MARBLE FALLS
State	:	TX
Zip	:	78654-4954
Country	:	US
Telephone Number	:	830-798-6641
Fax Number	:	830-798-1871

Authorized Official
Title or Position	:	PRESIDENT/PT
Name	:	MS. LORI RENEE ANDERSON
Credential	:	PHYSICAL THERAPIST
Telephone Number	:	830-798-6641

Provider Enumeration Date	:	11/26/2007
Last Update Date	:	11/26/2007

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