Provider Demographics
NPI:1083348957
Name:COUCH PHYSICAL THERAPY
Entity Type:Organization
Organization Name:COUCH PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:COUCH
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:214-986-6454
Mailing Address - Street 1:5925 FOREST LN STE 101
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2785
Mailing Address - Country:US
Mailing Address - Phone:214-758-0038
Mailing Address - Fax:214-382-9045
Practice Address - Street 1:5925 FOREST LN STE 101
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2785
Practice Address - Country:US
Practice Address - Phone:214-758-0038
Practice Address - Fax:214-382-9045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-14
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy