Organization
PHYSICAL MANAGEMENT PROFESSIONALS
Active
Other names
Therapy Heroes
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SHAY SMITH (SOLE MBR)
(817) 480-3798
Entity
Organization
Contact information
Practice address
916 E HIGHWAY 377, GRANBURY, TX 76048-1400
(817) 573-1214
Mailing address
2550 BOYD AVE, FORT WORTH, TX 76109-1021
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
1096931
TX
Other
Enumeration date
01/13/2012
Last updated
01/27/2012
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