Provider Demographics
NPI:1467657007
Name:WOMACK'S FAMILY FITNESS, INC
Entity Type:Organization
Organization Name:WOMACK'S FAMILY FITNESS, INC
Other - Org Name:WOMACKS REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSTRUCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOMACKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-337-8888
Mailing Address - Street 1:1185 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-5105
Mailing Address - Country:US
Mailing Address - Phone:817-337-8888
Mailing Address - Fax:817-337-1854
Practice Address - Street 1:1185 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-5105
Practice Address - Country:US
Practice Address - Phone:817-337-8888
Practice Address - Fax:817-337-1854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty