Provider Demographics
NPI:1801370325
Name:TAMMIE FLANAGAN LUTHRINGER PHYSICAL THERAPY AND WELLNESS, LLC
Entity type:Organization
Organization Name:TAMMIE FLANAGAN LUTHRINGER PHYSICAL THERAPY AND WELLNESS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:FLANAGAN
Authorized Official - Last Name:LUTHRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:903-255-6398
Mailing Address - Street 1:3935 TEXAS BLVD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-3207
Mailing Address - Country:US
Mailing Address - Phone:903-255-6398
Mailing Address - Fax:888-972-7620
Practice Address - Street 1:3935 TEXAS BLVD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-3207
Practice Address - Country:US
Practice Address - Phone:903-255-6398
Practice Address - Fax:888-972-7620
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-20
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty