Provider Demographics
NPI:1437489184
Name:BIG COUNTRY REHABILITATION INC
Entity Type:Organization
Organization Name:BIG COUNTRY REHABILITATION INC
Other - Org Name:STEPS 2 STRIDES OF SULPHUR SPRINGS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PETTY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:903-885-5919
Mailing Address - Street 1:614 BILL BRADFORD
Mailing Address - Street 2:STE 101
Mailing Address - City:SULPHUR SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:75482-4538
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:614 BILL BRADFORD
Practice Address - Street 2:STE 101
Practice Address - City:SULPHUR SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:75482-4538
Practice Address - Country:US
Practice Address - Phone:903-885-5919
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-31
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy