Organization
SOUTHERN ROOTS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA POWELL (PHYSICAL THERAPY)
(318) 372-0793
Entity
Organization
Contact information
Practice address
107 ELM CREEK DR, HUTTO, TX 78634-2352
(318) 372-0793
Mailing address
107 ELM CREEK DR, HUTTO, TX 78634-2352
(318) 372-0793
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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