Provider Demographics
NPI:1346479110
Name:S & S THERAPY LP
Entity Type:Organization
Organization Name:S & S THERAPY LP
Other - Org Name:SPINE & SPORTS THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:DEWALCH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-629-9200
Mailing Address - Street 1:4295 SAN FELIPE ST STE 230
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-2915
Mailing Address - Country:US
Mailing Address - Phone:713-629-9200
Mailing Address - Fax:713-513-5048
Practice Address - Street 1:4295 SAN FELIPE ST STE 230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-2915
Practice Address - Country:US
Practice Address - Phone:713-629-9200
Practice Address - Fax:713-513-5048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9740111NS0005X
TX11592111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty