Provider Demographics
NPI:1518345370
Name:REDD'S PROGRESSIVE THERAPY
Entity Type:Organization
Organization Name:REDD'S PROGRESSIVE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARDELL
Authorized Official - Middle Name:F
Authorized Official - Last Name:REDD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-298-5020
Mailing Address - Street 1:25132 OAKHURST DR
Mailing Address - Street 2:STE 195
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77386-1452
Mailing Address - Country:US
Mailing Address - Phone:281-298-5020
Mailing Address - Fax:281-298-5021
Practice Address - Street 1:25132 OAKHURST DR
Practice Address - Street 2:STE. 195
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77386-1452
Practice Address - Country:US
Practice Address - Phone:281-298-5020
Practice Address - Fax:281-298-5021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CFR GROUP LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-13
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty