Provider Demographics
NPI:1619285699
Name:JOINT MECHANICS PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:JOINT MECHANICS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:
Authorized Official - Last Name:REEDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-319-7488
Mailing Address - Street 1:4413 82ND ST.
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-3366
Mailing Address - Country:US
Mailing Address - Phone:806-319-7488
Mailing Address - Fax:806-368-5935
Practice Address - Street 1:4413 82ND ST.
Practice Address - Street 2:SUITE 107
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-3366
Practice Address - Country:US
Practice Address - Phone:806-319-7488
Practice Address - Fax:806-368-5935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-23
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11354812251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty