Provider Demographics
NPI:1477933570
Name:ABADIE INTEGRATIVE THERAPY
Entity Type:Organization
Organization Name:ABADIE INTEGRATIVE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:J PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABADIE
Authorized Official - Suffix:
Authorized Official - Credentials:PT, LAC
Authorized Official - Phone:409-996-8808
Mailing Address - Street 1:7155 SPANISH GRANT
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77554-7755
Mailing Address - Country:US
Mailing Address - Phone:409-996-8808
Mailing Address - Fax:
Practice Address - Street 1:6217 CENTRAL CITY BLVD
Practice Address - Street 2:
Practice Address - City:GALVESTON
Practice Address - State:TX
Practice Address - Zip Code:77551-3820
Practice Address - Country:US
Practice Address - Phone:409-996-8808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty