Provider Demographics
NPI:1659717114
Name:NORTH TEXAS FITNESS & THERAPY CENTER PLLC
Entity Type:Organization
Organization Name:NORTH TEXAS FITNESS & THERAPY CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYICAL THERAPIST/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MAINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-373-2967
Mailing Address - Street 1:201 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:FERRIS
Mailing Address - State:TX
Mailing Address - Zip Code:75125-2223
Mailing Address - Country:US
Mailing Address - Phone:469-373-2967
Mailing Address - Fax:
Practice Address - Street 1:201 W 5TH ST
Practice Address - Street 2:
Practice Address - City:FERRIS
Practice Address - State:TX
Practice Address - Zip Code:75125-2223
Practice Address - Country:US
Practice Address - Phone:469-373-2967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-10
Last Update Date:2013-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy