Organization
EL PASO BACK IN ACTION THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK HALLADAY (MANAGING MEMBER)
(575) 430-8648
Entity
Organization
Contact information
Practice address
7451 PASEO DEL NORTE, SUITE B5, EL PASO, TX 79911
(575) 430-8648
Mailing address
7451 PASEO DEL NORTE STE B5, EL PASO, TX 79911-3158
(915) 243-1323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
10/30/2025
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