# IMPACT PHYSICAL THERAPY, L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861556508
- **Authorized official:** MR. SHAWN SPANIHEL P.T. (OWNER)
- **Authorized official phone:** (956) 689-9195

## Contact information

- **Practice address:** 100 N. HWY 77, SUITE N, RAYMONDVILLE, TX 78580-4010
- **Practice address phone:** (956) 689-9195
- **Practice address fax:** (956) 659-9217
- **Mailing address:** 100 N. HWY 77, SUITE N, RAYMONDVILLE, TX 78580-4010
- **Mailing address phone:** (956) 689-9195
- **Mailing address fax:** (956) 659-9217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 1056786 | TX | Yes |

## Other

- **Enumeration date:** 12/20/2006
- **Last updated:** 04/17/2012