Provider Demographics
NPI:1437580933
Name:GROESBECK THERAPY SERVICES
Entity Type:Organization
Organization Name:GROESBECK THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:TROJACEK
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:254-729-0323
Mailing Address - Street 1:1023 N. ELLIS
Mailing Address - Street 2:
Mailing Address - City:GROESBECK
Mailing Address - State:TX
Mailing Address - Zip Code:76642
Mailing Address - Country:US
Mailing Address - Phone:254-729-0323
Mailing Address - Fax:254-729-0328
Practice Address - Street 1:1023 N. ELLIS
Practice Address - Street 2:
Practice Address - City:GROESBECK
Practice Address - State:TX
Practice Address - Zip Code:76642
Practice Address - Country:US
Practice Address - Phone:254-729-0323
Practice Address - Fax:254-729-0328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-09
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1144632261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy