Organization · Type 2 NPI

Tillman Physical Therapy & Sports Training Center, Inc

Physical Therapy Clinic/Center · Cedar Park, TX

NPI number 1376579797 Active

Practice location

2519 S Lakeline Blvd, Suite 100
Cedar Park, TX 78613-2964

Fax (512) 331-4312

Specialties and licenses

Taxonomy	Code	License
Clinic/Center	261Q00000X	554280000 (TX)
Physical Therapy Clinic/Center Primary	261QP2000X	644350000 (TX)

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

15 other providers at this address

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NPI record

NPI: 1376579797
Entity type: Organization (Type 2)
Issued: Jun 25, 2006
Last updated: Mar 17, 2011
Status: Active

Other names

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Tillman Physical Therapy & Sports Training Center, Inc · former legal business name

Authorized official

Michael Ray Tillman, MPT, CSCS, CERT. MDT
Phyical Therapist President
(512) 331-6200

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About NPI 1376579797

Tillman Physical Therapy & Sports Training Center, Inc's National Provider Identifier is 1376579797, issued on Jun 25, 2006. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Cedar Park, TX. The record was last updated on Mar 17, 2011.