Individual
WILLIAM THREADGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
4010 82ND ST, SUITE 130, LUBBOCK, TX 79423-1949
(806) 783-8234
(806) 783-8235
Mailing address
5907 84TH ST, LUBBOCK, TX 79424-3609
(806) 783-8234
(806) 783-8235
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1063576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T4088
BLUECROSSBLUESHIELD INDIV
TX
Enumeration date
12/19/2006
Last updated
07/08/2007
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