Organization
PROFESSIONAL HEALTH SERVICES INC.
Active
Other names
Human Performance and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRI A LAIN (OFFICER/VICE PRESIDENT)
(325) 439-6144
Entity
Organization
Contact information
Practice address
1949 INDUSTRIAL, ABILENE, TX 79602
(325) 439-6144
Mailing address
1949 INDUSTRIAL, ABILENE, TX 79602-8746
(325) 439-6144
(325) 271-4128
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1-04375-0
TX
261QP2000X
Physical Therapy Clinic/Center
Primary
604790001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84027T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/14/2006
Last updated
05/24/2018
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