Provider Demographics
NPI:1467767293
Name:RONDA MANNING
Entity Type:Organization
Organization Name:RONDA MANNING
Other - Org Name:WEST TEXAS SENSORY INTEGRATION, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PEDIATRICS PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:915-587-6226
Mailing Address - Street 1:PO BOX 220576
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79913-2576
Mailing Address - Country:US
Mailing Address - Phone:915-587-6226
Mailing Address - Fax:915-845-1165
Practice Address - Street 1:7609 LUZ DE LUMBRE AVE
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-8481
Practice Address - Country:US
Practice Address - Phone:915-587-6226
Practice Address - Fax:915-845-1165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11293932251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty