Provider Demographics
NPI:1225809080
Name:ROUND ROCK MANUAL THERAPY AND PELVIC REHABILITATION, PLLC
Entity Type:Organization
Organization Name:ROUND ROCK MANUAL THERAPY AND PELVIC REHABILITATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HENDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT, MPT
Authorized Official - Phone:512-944-4182
Mailing Address - Street 1:301 KETTLEMAN LN S
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-2980
Mailing Address - Country:US
Mailing Address - Phone:512-944-4182
Mailing Address - Fax:512-233-0685
Practice Address - Street 1:600 ROUND ROCK WEST DR STE 305
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-5018
Practice Address - Country:US
Practice Address - Phone:512-944-4182
Practice Address - Fax:512-233-0685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy