Provider Demographics
NPI:1417647876
Name:ARISE PHYSICAL THERAPY AND WELLNESS PLLC
Entity Type:Organization
Organization Name:ARISE PHYSICAL THERAPY AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:COZART-EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:214-534-8448
Mailing Address - Street 1:650 STEFHANIE DR
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:TX
Mailing Address - Zip Code:75009-4611
Mailing Address - Country:US
Mailing Address - Phone:214-534-8448
Mailing Address - Fax:
Practice Address - Street 1:650 STEFHANIE DR
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:TX
Practice Address - Zip Code:75009-4611
Practice Address - Country:US
Practice Address - Phone:214-534-8448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty