Organization
COUCH PHYSICAL THERAPY AND REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD LLOYD COUCH P.T. (OWNER/ADMINISTRATOR)
(903) 572-3583
Entity
Organization
Contact information
Practice address
107 W 20TH ST, MT PLEASANT, TX 75455-2323
(903) 572-3583
(903) 572-8199
Mailing address
107 W 20TH ST, MT PLEASANT, TX 75455-2323
(903) 572-3583
(903) 572-8199
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
456667
OTHER
TX
01
—
5958425
AETNA
TX
01
—
650267
BLUE CROSS/BLUE SHIELD
TX
01
—
PT1000396
WORKERS' COMPENSATION
TX
Enumeration date
06/26/2006
Last updated
08/22/2020
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