Provider Demographics
NPI:1760902506
Name:UNWIND SENSORY INSTITUTE & PEDIATRIC OP THERAPY LLC
Entity Type:Organization
Organization Name:UNWIND SENSORY INSTITUTE & PEDIATRIC OP THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:DYLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-823-4694
Mailing Address - Street 1:1375 COUNTY ROAD 1111
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:TX
Mailing Address - Zip Code:76234-5805
Mailing Address - Country:US
Mailing Address - Phone:817-823-4694
Mailing Address - Fax:
Practice Address - Street 1:1375 COUNTY ROAD 1111
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:TX
Practice Address - Zip Code:76234-5805
Practice Address - Country:US
Practice Address - Phone:817-823-4694
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty