Provider Demographics
NPI:1013338649
Name:COMMUNITY REC THERAPIES
Entity Type:Organization
Organization Name:COMMUNITY REC THERAPIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:EVERITT
Authorized Official - Suffix:
Authorized Official - Credentials:CTRS
Authorized Official - Phone:512-897-1914
Mailing Address - Street 1:9501 N FM 620
Mailing Address - Street 2:SUITE 5102
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78726-2901
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9501 N FM 620
Practice Address - Street 2:SUITE 5102
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78726-2901
Practice Address - Country:US
Practice Address - Phone:512-897-1914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-28
Last Update Date:2013-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health