Provider Demographics
NPI:1235570201
Name:THERAPEUTIC ENDEAVORS LLC
Entity Type:Organization
Organization Name:THERAPEUTIC ENDEAVORS LLC
Other - Org Name:PRO-FIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SELLERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:409-658-9369
Mailing Address - Street 1:3675 HIGHWAY 96 BYP
Mailing Address - Street 2:
Mailing Address - City:SILSBEE
Mailing Address - State:TX
Mailing Address - Zip Code:77656-7623
Mailing Address - Country:US
Mailing Address - Phone:409-658-9369
Mailing Address - Fax:
Practice Address - Street 1:156 S MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:TX
Practice Address - Zip Code:77657-7882
Practice Address - Country:US
Practice Address - Phone:409-658-9369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1139889261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy