Provider Demographics
NPI:1700560786
Name:SPRING PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:SPRING PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:T
Authorized Official - Last Name:BOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:281-651-7111
Mailing Address - Street 1:19510 KUYKENDAHL RD STE B
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3481
Mailing Address - Country:US
Mailing Address - Phone:281-651-7111
Mailing Address - Fax:281-288-9550
Practice Address - Street 1:19510 KUYKENDAHL RD STE B
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3481
Practice Address - Country:US
Practice Address - Phone:281-651-7111
Practice Address - Fax:281-288-9550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty